Chapter 6 A Case of Shoulder Reduction
Lu Xiaohan asked seriously: "So that means you can create another thumb in the future?" As soon as he thought of it, his eyes suddenly became pleasantly surprised.
"Well, even if I could create another thumb, I wouldn't be as flexible as before," I said quickly.
"Thank you, Dr. Lin, when will my sister be able to do this surgery," Lu Xiaohan asked again
"You can do it in about three to six months," Lin Chen answered the question she wanted to know seriously. The loss of a finger is a great trauma to the girl's heart.
Lin Chen was comforting Lu Xiaohan, when the landline phone on the table rang, Lin Chen picked up the microphone, and heard Dean Feng's eager voice on the other end of the phone.
"Xiaolin, you go to the outpatient clinic quickly" After speaking, he hung up the phone.
What was it that made the dean call me so urgently and ask me to go to the outpatient clinic? Lin Chen was puzzled in his heart, but he didn't want to delay.
So he said to Lu Xiaohan: "Xiaohan, follow me to the outpatient clinic."
When I came to the outpatient clinic, I saw that a bunch of people had already surrounded the outpatient clinic. Lin Chen shouted loudly, "Please let the family go, I'm a doctor." β
Squeezed into the office with Lu Xiaohan, and saw a middle-aged male patient lying on the examination table, holding his left elbow with his right hand, screaming loudly.
"Doctor, my shoulder can't move, it hurts! it hurts."
Seeing Lin Chen's arrival, Director Zhang said: "Xiaolin, this patient is a taxi driver, half an hour ago on the way to work, encountered a robber robbing the girl's money, and accidentally injured his shoulder during the fight, we preliminarily judged that the shoulder joint was dislocated, but our two old men did not have so much strength to help him reset, and it was far away to the provincial capital."
Shoulder dislocation?Lin Chen's mind immediately flashed shoulder joint reduction: manual reduction, surgical reductionγγγγγγ
"Doctor, hurry up and treat this driver's eldest brother!" said the onlookers
"Doctor, help me, I still have to drive to work, and now I've been delayed for a long time. The middle-aged male taxi driver said bitterly.
"Doctor, please heal his wounds, he accidentally injured the next door for me" The speaker was dressed as a schoolgirl who looked like she was only a high school student.
What, this robber actually went to rob a student, it is tolerable, vulgar and unbearable. If I met it, it would be like this, this robber is too hateful, but fortunately, the other people around saw it and took him to the police station.
There are not many taxi drivers like this who are brave and brave.
Lin Chen comforted the taxi driver to lie down on the operating table and fell asleep.
Although Director Zhang has already informed him of his condition, all the doctors who see him again will check his condition again.
The patient, a middle-aged man, injured his left shoulder during a fight with robbers half an hour ago, and held his elbow with his right hand, and his shoulder pressure was obviously painful, and the shoulder joint was emptyγγγγγγ
After checking this, Lin Chen determined that the taxi driver was just a simple shoulder dislocation, of course, it would be better to take an X-ray, but our hospital has such conditions to buy this machine, even if there is such a camera machine, it still needs supporting personnel, and the medical conditions in Jiangxia can only be thought about.
In this case of shoulder dislocation, manual reduction is really difficult. The main problem is that the patient is a middle-aged male worker, and his shoulder muscles are too tense, as long as he touches his arm, he will cry out violently and refuse to let anyone touch him.
In this way, there is no way to heal. Lin Chen's mind suddenly flashed, in a warm environment, it would promote the release of muscles, and in cold conditions, muscles would contract. Isn't this the physical expansion and contraction of heat?
Thinking of this, Lin Chen suddenly said to Lu Xiaohan: "Go and get a basin of hot water, the water temperature should be a little higher, and bring a towel."
"Hot water, towels"? Lu Xiaohan stood to the side in a daze, still holding the bandage I asked her to prepare.
"Yes, it's hot water, you go quickly" Lin Chen hurriedly urged.
After a while, Lu Xiaohan walked in with a basin of steaming hot water. I, Lin Chen, hurriedly asked her to put it on the ground, picked up a towel to soak it, wrung it out, and put it on the taxi driver's shoulder.
"Xiaolin, what are youγγγγγγ Director Zhang asked suspiciously.
"That's right, I use the warm environment to relax the tense muscles in his shoulders," I replied.
In general, as long as the patient can tolerate the pain, the direct foot pedal reduction method is easy to solve, but the patient's muscles are too tense, and forcibly reducing him may also cause avulsion fractures of the patient's ribs and intra-articular bones.
So I came up with the idea of applying hot water to the patient's shoulder to relieve the tension in his muscles, and then trying to reduce the position with a hand-to-foot pedal.
After about 10 minutes, the shoulder muscles are no longer as tense as before, and they have probably relaxed a lot. Lin Chen instructed Lu Xiaohan to help the taxi driver, and began to try to reset the traction pedal method.
Lin Chen put the soles of his feet on the armpit of the driver's eldest brother, and then took his hand, and once again flashed in his mind that the reduction technique needed traction, increased strength, traction, and increased strength.
As I slowly rotated the patient's shoulder inside and out, I heard a creaking sound, which I think is the classic sound of successful reduction in the textbook. At another touch, the taxi driver's shoulders were no longer empty.
The manual reduction was successful, and the pressure in Lin Chen's heart suddenly plummeted, and he couldn't imagine that the manual traction foot pedal method was so smooth, which I didn't dare to think about before, because I was afraid of the patient's excessive pain screaming, and I was also afraid of causing the patient's humeral head avulsion fracture again, so that the patient was lying there, and I didn't dare to go to the doctor.
When the patient's shoulder creaked and the shoulder joint was realigned, the taxi driver's painful expression disappeared instantly, replaced by a smile after taking a deep breath.
"Little doctor, thank you so much, I didn't expect to be cured like this, if it weren't for you, I wouldn't know what to do," said the taxi driver.
The crowd around him immediately erupted in applause.
"You're welcome, you're also a hero of human names," Lin Chen hurriedly said.
"Next time, I will continue to act bravely," the taxi driver's eldest brother said excitedly.
Lin Chen was also very excited, although I am also a little doctor, if it weren't for the extraordinary ability obtained by that calligraphy and painting, I might be at a loss in the face of such an illness.
When the taxi driver's shoulder joint was restructured, Lin Chen's mood also changed.
In the past, if I was praised like this, I would get carried away, but now my heart is like water, and I am not affected by the outside world at all.
With doubts, I must study medical psychology when I return home, but I am also a saint of medicine, and I can solve problems when I meet patients.