"Doctor Zhai, what did Dr. Fang just say, how to reduce the inner ankle bone combined with the dislocation of the lower tibia and fibular joint?"

Jiang Feng followed behind Zhai Jiapeng and humbly asked for advice.

Zhai Jiapeng was a little funny, this Jiang Feng, I hadn't seen him so polite in general.

Zhai Jiapeng came to the bone injury division the latest, and he was still a doctor in the department, although he was the attending doctor, but in the emergency department, some senior residents did not have much respect for Zhai Jiapeng.

In the hospital, the attending doctors are almost the same, and the residents will call the teacher when they see them, even if they don't call the teacher, they are quite polite.

Of course, Zhai Jiapeng is a newcomer, and he doesn't care, so he will gain a firm foothold in the bone injury area first.

And in the face of Jiang Feng, Zhai Jiapeng didn't take a shelf.

What does Jiang Feng say, the reason why he is impetuous, and he can't suppress his temperament when he learns anything, in addition to his personality, there is also an uncle who is the vice president.

Although it is a city hospital, for Jiang Feng, he subconsciously feels that he has a way out, and if he can't do it, he can go back to the central hospital, it is precisely because of this idea that this kid does not seem to have as much pressure as others.

Today's beating by Fang Han, Jiang Feng was still a little scared, there was a way out, but it didn't mean that he really had to take that road, he really had to go back, not to mention anything else, he wasn't laughed at by his younger brother to death?

"Dr. Fang is talking about moderate to severe injuries in ankle valgus fractures, which can be classified into three grades according to the degree of injury........"

Zhai Jiapeng patiently explained to Jiang Feng.

........

"Doctor, doctor!"

At the door of the emergency department, a big fat man about forty years old walked in breathlessly, and with every step, the floor of the emergency department seemed to shake slightly.

"What's wrong?"

A nurse hurriedly greeted him and asked.

"Arm, my arm looks like it's broken!"

The fat man was holding one arm crossed, the other holding it, and his forehead was covered with sweat.

"Fractured right upper arm?"

The nurse inquired for a moment, and then said, "Are you here alone, no family members?"

"I said nurse, I'm a temporary injury, my family is not here, my pain is terrible, can I treat it first, I can't stand it." The middle-aged fat man was sweating profusely, and his face was full of expressions, as if it really hurt.

"Come with me. ”

The nurse looked at it, didn't dare to delay, and said while leading the way in front: "I'll find the doctor in the bone injury department to show you first, and you can make up the registration fee later." ”

"Thank you nurse, thank you nurse. The middle-aged fat man thanked him again and again.

After entering the bone injury section, the nurse first took the fat man into a treatment room, and then went to inform the doctor.

Zhai Jiapeng got the news and hurriedly went to the treatment room with Li Xiaofei.

"Right arm?"

Zhai Jiapeng stepped forward and checked the situation first.

"It hurts, doctor, it hurts!"

"You're too fat, aren't you? ”

Zhai Jiapeng stretched out his hand and touched it for a long time, but he didn't know the situation, and he couldn't see where the injured person was.

A fat man of more than 200 pounds, his body is full of meat, and his arms are thicker than many people's thighs.

"Doctor, I don't want to, I can't help it, my physique is like this, drinking cold water will grow meat, I said can you not expose it?" the fat man grinned.

"You're fat, and it's difficult to diagnose, bear with me, I'll take a look at the situation first, and you can also tell me how you got it?"

"It's not a friend's house to move things, I took a hand, who knows that as soon as I tried hard, I heard a sound, and then it hurt, I guess it should be a fracture. ”

Zhai Jiapeng listened and checked for a long time before he said, "It's not a fracture, it's a dislocation." ”

"Dislocation?"

"Yes, dislocated!"

Saying that, Zhai Jiapeng beckoned to Jiang Feng on the side: "Come, take a hand, I'll reset it." ”

Saying that, he commanded Jiang Feng to step forward, and then Zhai Jiapeng grabbed the fat man's wrist with one hand, but his hand couldn't completely grasp the fat man's hand.

In addition, the weather is hot, and the fat man has a lot of sweat on his arms, even if he is under the air conditioner at this time, his arms are greasy, and Zhai Jiapeng can't even do it.

"Go, find another person. ”

Zhai Jiapeng said to Jiang Feng.

It is really not an easy thing to reset the bones of such a big fat man.

Jiang Feng came out of the treatment room, and after a while, he shouted that Lin Guangliang was coming.

Jiang Feng grabbed the patient's shoulder, Lin Guangliang grabbed the bottom, and listened to my instructions.

Zhai Jiapeng commanded the two people to get ready, and then grabbed the fat man's wrist with both hands and shouted: "Pull!"

Then the three of them worked together, but the fat man didn't seem to move.......

"It hurts, it hurts......"

Although the fat man sat motionless, the pain was not light, and he shouted: "I said, doctor, are you treating or killing?"

"No, there's too much meat, too much traction. ”

Zhai Jiapeng let go of his hand and gasped: "Lin Guangliang will call someone again, the three of us don't seem to understand." ”

"Doctor Zhai, why don't you call Doctor Fang over?" Lin Guangliang suggested.

"Okay, go find Doctor Fang!"

Zhai Jiapeng nodded, in general, if it is not really impossible to take it, the doctors below are unwilling to easily alarm the senior doctors, this shoulder dislocation Zhai Jiapeng can still deal with it, but the patient is really too fat.

Just after the diagnosis, Zhai Jiapeng tossed for a while, and then he was sure that it was not a fracture, and it was reduced at this time, and the three of them couldn't take it down.

The more fat the person, the more muscles, the greater the traction, and the greater the difficulty of bone reduction.

"Doctor Fang!"

Fang Han was talking to Xian Fen on the phone in the office at this moment.

Well, on the phone, Xian Fen has not been in Jiangzhong for a while, and after the Jiangzhong Hospital signed a contract with Hopkins Hospital, Xian Fen returned to Yanjing, and he just got his doctor's certificate today, and called to ask about Comrade Fang.

"What's wrong?"

"Doctor Fang, there is a patient with a shoulder dislocation...... Lin Guangliang said hurriedly.

"What about Doctor Zhai?" Fang Han asked.

"Dr. Zhai is also there, but he can't take it. ”

"Okay, got it. ”

Saying that, Fang Han said to Xian Fen: "There is a patient, don't talk about it yet, wait until you come." ”

After hanging up the phone, Fang Han followed Lin Guangliang to the treatment room, and when he entered the door, he saw a mountain of meat.

Seeing the patient, Fang Han knew why Zhai Jiapeng couldn't hold it, such a mountain of meat, ordinary people were really worried when they looked at it.

"Doctor Fang!" Zhai Jiapeng and Jiang Feng hurriedly greeted each other.

"Are you sure it's a shoulder dislocation?" Fang Han asked Zhai Jiapeng.

"Well, it's definitely a shoulder dislocation, and the muscle traction is too great for the three of us to handle. Zhai Jiapeng smiled bitterly.

"I'll see!"

Fang Han went to wash his hands first, and then walked over to give the patient an examination and determined that it was a shoulder dislocation.

"Come, stand up and I'll take a look!" Fang Han said to the patient.

"Dislocated arm, but also look at the leg?"

The patient reluctantly stood up: "Do you want me to take two steps for you?"

"If you're willing to go, take two steps. ”

Fang Han said very casually.

"Then I'll give you two steps?"

The fat man is also an interesting person, and he deliberately took two steps, but his other hand was still clutching the dislocated arm.

"Let go, throw off your arms and go. Fang Han reminded on the side.

"Are you really leaving?"

The fat man glanced at Fang Han and saw that Fang Han's face was full of seriousness, so he let go of his arm and threw off his arm, but the dislocated arm was lying on his stomach and could not be shaken off at all.

The fat man was walking, Fang Leng passed by, and his shoulder hit the fat man's dislocated shoulder hard, and then reached out and grabbed the fat man's wrist, pulled, twisted, and shaken.....

"Alright, try again!"

"Huh!"

The fat man was dumbfounded: "Can I move this arm?"

As he spoke, the fat man moved a little, his face full of surprise: "I said doctor, you are simply amazing." ”

Zhai Jiapeng on the side was also dumbfounded.

That's it?

Fang Han's action just now was done in one go, but in fact, it was very fast, almost in the blink of an eye, and the fat man's dislocated joint was reset.

"Don't move!"

Fang Han said and walked to the side, wrote a prescription, and handed it to the fat man: "Just reset, don't exercise vigorously, recuperate for a while, the above medicine is applied externally, and the following prescription is taken internally, this is a treatment sheet, go grab the medicine and pay the fee." ”

"Thank you, doctor!"

The fat man thanked him and slowly walked out the door.

"It's fat!"

Jiang Feng still had some feelings.

"Don't talk about the patient, just get busy. ”

As he spoke, Fang Han also left the consultation room.......

About ten minutes later, Zhai Jiapeng and Jiang Feng were treating another patient, and the nurse who had sent the fat man before hurriedly walked in.

"Doctor Zhai, Dr. Jiang......"

"Nurse Wang, what's wrong?" Zhai Jiapeng asked.

"Doctor Zhai, come out and say!"

Nurse Wang beckoned.

Zhai Jiapeng walked out of the treatment room and asked, "What's wrong?"

"What about the patient you just treated?" asked Nurse Wang.

"Who?"

"It's the big fat man. Nurse Wang reminded.

"After the treatment, let's go. Zhai Jiapeng was puzzled: "What's wrong?"

"Gone?"

Nurse Wang was stunned for a moment, and then said, "It's over, it's over......"

"What the hell is going on?" Zhai Jiapeng was a little puzzled.

"He didn't pay. ”

Nurse Wang said: "And I haven't registered yet, and I haven't gone to get the medicine, so I won't see anyone here." ”

"People ran away?" Zhai Jiapeng was also stunned for a moment.

Some procedures in the emergency department are sometimes different from those in the outpatient department, and most patients are naturally registered at the triage desk, then registered, paid for treatment, took medicine, and so on.

It is possible to write about emergency patients, and there are also cases where the fee is paid after treatment, so there will be a situation of bill evasion.

"Just now he shouted that the pain was not good, I didn't let me register first, saying that I did the treatment to make up the number to pay the fee, I was busy just now, I also forgot, who knows......"

Nurse Wang was about to cry.

Similar to the situation of today's fat man, Nurse Wang is responsible, the person was brought by her, there was no registration, no payment, and the person who did the treatment ran away, according to the regulations of the hospital, not to mention that all the treatment fees were made up by Nurse Wang, at least the bonus should be deducted.

The basic salary of nurses is not high, and the emergency department now has a lot of bonuses, and if the bonus is deducted, it will be worth thousands less a month.