Liu Jie saw the suspicion on the middle-aged woman's face, and didn't care, and asked with a smile, "What's wrong with your body?"

"Oh, I accidentally got scratched by a bicycle when I went grocery shopping the day before yesterday, and I felt a little pain in my left wrist at the time, but it was okay to pinch it, I thought it was just a pain, and I didn't take it seriously. As a result, in the past two days, I suddenly felt a little bit of pain, I didn't dare to carry things, and I didn't do anything, and my wrist would hurt for a while. ”

The middle-aged woman replied a little absent-mindedly, obviously not taking Liu Jie seriously.

"Did the bike hit your left wrist? Or did you reach out and block it and hit your wrist?" asked Liu Jie very carefully.

He is well aware of the misalignment of the joints in the human body, but he also needs to know the situation when the disease occurs so that he can infer it for bone correction.

Recalling the situation at the time, the middle-aged woman frowned and complained: "I was just turning around, but I didn't expect someone to push a bicycle in the side aisle, the person was in a hurry, and the handrail of the car scraped my clothes all of a sudden, I reached out to push the car, and I felt that my left wrist was twisted, but it didn't hurt much." ”

Liu Jie listened to the middle-aged woman's retelling, and then made a simple inference based on the situation at the time, and said, "You should have a slight fracture of the distal radius of the left ulna." ”

The middle-aged woman was surprised and asked, "You know that, you don't have to check it for me, let me make a film or something?"

Liu Jie said: "I'm just inferring now, and I need to check further, you put your left arm on the table, I'll look at your wrist first." ”

The middle-aged woman stretched out her hand and lifted her sleeve to reveal her wrist.

Liu Jie reached out and grabbed her wrist, and a picture that was clearer than the previous blurry image instantly appeared in his mind.

Sure enough, as he had guessed, there was a slight fracture of the distal radius of the left ulna.

No signs of deformity are visible on the surface, but the ulnar radius has undergone slight fission.

Under normal circumstances, this kind of fission needs to be taken to check out, and it can't be seen by ordinary touch inspections, so Liu Jie didn't hesitate to take the prescription list on the side and prescribe a set of CT scans first.

The middle-aged woman took the list, and her face softened, right, no matter how it is, it's better to take a film and watch it first, so that you can relax your mind.

The middle-aged woman was sent away, and although she was guarding the door, Nurse Wu, who was watching the whole time, couldn't help but come over and asked in a low voice, "Doctor Liu, didn't you find out what kind of illness she was just now? Why did you let her go to make a film?"

Liu Jie looked at Nurse Wu, who looked curious, and said, "I'm just an assistant physician now, and patients have limited trust in me, so no matter how this disease is ultimately viewed, I have to take myself out first." ”

Nurse Wu didn't understand it, and looked at Liu Jie blankly.

Liu Jie patiently explained: "The slight fracture of the distal radius of the left ulnar can only be detected by taking a film under normal circumstances, so I just asked her to go for a basic examination, so that she can rest assured, and it can also prevent me from saying that I am not accurate in judgment and improper treatment in the future." ”

Nurse Wu understood this time, although she had just come to the hospital for an internship for a long time, and she had never been with a doctor in a serious way, she had heard a lot from the old nurses on weekdays, and she also knew that the current doctor-patient relationship was too complicated.

Liu Jie's approach is not a question of whether there is medical ethics or not, but to avoid contradictions from the root.

After all, it happens from time to time that you get into trouble because of your kindness.

Nurse Wu nodded approvingly: "That's right, you have to do it." ”

Liu Jie had a good impression of Nurse Wu, thinking that the little girl had a cheerful personality, a good temper, and a straight intestine, and she didn't seem to have much heart.

Although such a person is easy to suffer in the workplace, it is relatively popular, after all, no one wants to face a person with a twisted stomach all day long, and even have to think twice before daring to speak, tired and panicked.

Nurse Wu relieved the doubts in her heart and went back to guard the door with satisfaction.

This time, a full hour passed, until the middle-aged woman came back with the film, and Liu Jie's clinic did not welcome a second patient.

The middle-aged woman's attitude this time turned 180 degrees, and she said to Liu Jie enthusiastically: "Doctor Liu, my film is back, can you help me take a look, is it serious?"

Liu Jie raised his eyebrows, walked down in such a circle, and even inquired about his name, probably knowing that he was a special doctor, and listening to his tone, he had obviously asked through the doctor in the CT room what was wrong with him.

This saves a lot of trouble.

Liu Jie took the film and saw that there was a slight fission at the distal end of the left ulnar radius, and then said: "Your distal left ulnar radius is only a slight fracture, and it doesn't look serious now, but the potential harm is very great, and I suggest that it is best to repair the orthopedic bone." ”

The middle-aged woman was obviously completely convinced of Liu Jie, and when she heard this, she immediately nodded: "Okay, please treat me." ”

Liu Jie lifted the sleeves of the middle-aged woman's shirt upwards, as if folding the top of the technique for rectification, first find out the fracture end, find the distal end of the fracture, and then use the thumb to resist the dorsal side of the distal fold, under the traction to increase the angle to the volar side, so that the dorsal cortex of the distal end of the fracture and the north cortex of the proximal fold end are closer, and after feeling that the fractured end has been tightened, then quickly flex the wrist 90 degrees.

Liu Jie's operation was accurate and fast, and the middle-aged woman almost didn't react before she felt a pain in her left wrist, and as soon as she exclaimed, Liu Jie said, "Okay." ”

After the reduction was completed, Liu Jie deliberately used his thumb to touch the dorsal, volar and lateral bony crests to confirm that the reduction was successful, and then let go of his hand.

"That's good?" the middle-aged woman tentatively moved her left wrist, and the original pain disappeared.

Liu Jie smiled and asked, "How do you feel now?"

The middle-aged woman hurriedly said, "Okay, it really doesn't hurt." ”

Liu Jie dragged the prescription book, prescribed some anti-inflammatory drugs, and instructed: "In the short term, the left hand should not touch heavy objects, although the ulnar and radius bones have been in position, but there is still a slight bone crack, which can only be healed slowly by recuperation." ”

The middle-aged woman nodded repeatedly.

Liu Jie told some precautions and explained the instructions for the use of anti-inflammatory drugs, and then handed over the prescription.

After the middle-aged woman thanked her, she took the prescription and went to prescribe the medicine.

Before leaving, the middle-aged woman casually asked, "What floor is the pharmacy on?"

Without waiting for Liu Jie to answer, Nurse Wu at the door immediately said: "Take a turn from here and go down the second floor, hey, I'll send you over." ”

The middle-aged woman naturally thanked her politely.

Nurse Wu turned her head and asked Liu Jie, "Doctor Liu, I got up late in the morning and didn't eat, so I went to the supermarket to buy some bread and came back, okay?"

Anyway, there were no patients, Liu Jie waved his hand very well: "Go ahead." ”

Nurse Wu led the middle-aged woman away.

When she arrived at the hall on the first floor, Nurse Wu pointed out the direction to the middle-aged woman: "Oh, in the hall on the left side of the front, you can see the pharmacy when you turn in." ”

The middle-aged woman nodded, and just about to leave, Nurse Wu inadvertently turned her head and saw the selected large screen of 'excellent doctors' hanging high in the entrance hall, she was slightly stunned, thought of something, hurriedly stopped the middle-aged woman, and said with a smile: "Sister, our hospital is now holding a selection activity, could you please help our Dr. Liu vote?"

The middle-aged woman was successfully cured, it was just a matter of effort, she nodded happily, followed Nurse Wu over, found the orthopedic department, and voted behind Liu Jie's name in the assistant physician column.

Nurse Wu looked at the empty number column behind the names of the assistant physicians in front of her, and took the middle-aged woman downstairs to find the pharmacy.