Chapter 912
Scattered
A small conference room for the five emergency departments.
The group of experts and professors urgently summoned by Dean Zhou had already arrived and sat down among them.
At this level of consultation, it stands to reason that Chen Ling, a newly admitted resident doctor who has been admitted to the hospital for less than three months, is not eligible to participate, because which one of you is not the deputy director, the big guy above the director level!
However, tonight's situation is a bit exceptional, the identity of the patient is a bit special, and it is Chen Ling's diagnosis, and it is an extremely serious diagnosis.
At this time, a group of experts and professors had already seen the patient and were waiting for various examination reports to come back. It's just that everyone here, like Dean Zhou, not only disagrees with Chen Ling's diagnosis, but even despises such a diagnosis very much.
While waiting, Ke Guoliang, the director of the First Department of General Surgery, said to Chen Ling with a smile on the corner of his mouth: "Doctor Chen, I'm really curious, in my more than 30 years of experience in traumatology, this is just a simple fracture, even if there is no way to do external fixation, at most it is just an internal fixation operation......
Lin Xiangrui, director of the Second Department of General Surgery, also spoke in a timely manner, "Yes, my opinion is the same as that of Director Ke, and I am also the same opinion, and I am also curious, what is the basis for Dr. Chen's diagnosis of Secretary Wu's son's amputation?"
The first department of general surgery and the second department of general surgery, the big guy and the second guy, wear the same pair of pants.
As soon as these two opened their mouths, they were like a boulder thrown into the middle of the lake, setting off a wave of doubts about Chen Ling.
Ou Zili, the director of the Department of Orthopedic Surgery, also said with a hint of sarcasm: "Dr. Chen, as far as I know, you are now a TCM practitioner, but in terms of Western medicine, you are only an intern, so I would like to know, do you understand the definition of amputation?"
Yang Yiming, deputy director of the Department of Orthopedic Surgery, also sneered: "Dr. Chen, I'm not afraid to tell you the truth, when you first joined the company, I held a strong opposition vote, a doctor in the emergency department? What can a TCM practitioner do in the emergency department?"
As soon as these heavyweight authorities spoke, they echoed one after another, and everyone questioned Chen Ling with their mouths and fingers, and the consultation evolved to this point, and it turned into a criticism conference.
Chen Ling looked at the faces of these people, there was no anger, no great compassion, only indifference, indifference!
He didn't defend himself, not a word, but perhaps only he knew whether he was powerless to deal with it, or didn't bother to defend it at all?
When Dean Zhou got the inspection report and walked into the conference room with Lin Zixuan, he found that it was a mess, and couldn't help but shout: "What are you guys making trouble about?"
With a brush on the floor, the entire conference room suddenly became silent, and the pin drop could be heard.
At the suggestion of Dean Zhou, Lin Zixuan put Wu Jun's X-ray on the reader.
At first glance, everyone saw that this was a simple fracture, the ulna and radius in the arm were broken in the middle, the broken bones were inlaid and staggered, although the injury was somewhat serious, but the director of the orthopedic trauma department, Ou Zili, and even the deputy director Yang Yiming, were very confident in using manual techniques to reset the broken bones and then put a plaster cast to fix them.
"Hmph, I'll just say, this is a simple fracture, and such a fracture needs to be amputated? What kind of international joke?" said Director Ke, who first questioned Chen Ling, in the first department of general surgery.
"With such a level of diagnosis, I don't have the qualifications of a clinician at all!" said Director Lin of the Second Department of General Surgery.
"Bang!" There was a loud bang, and before anyone else could speak again, Chen Ling had already slapped the case and shouted angrily: "Have you blinded your dog's eyes?"
After that, he ignored the people who angrily accused him, but stepped forward, put the X-ray film on the multimedia reader, and magnified the image several times.
Once the image is enlarged, the bones become thicker and larger, and the texture of the bones is clearly visible to everyone.
After really seeing the bones clearly, everyone gasped.
Two bones in the arm...... No, it should be four bones, it seems that there are only two fractures, and the broken bones are still intact, but after magnifying them, everyone found that the four bones just look like they remain intact, but in fact they are not at all, the bones have long been broken, but for some reason, they still maintain their original shape.
To give a simple example, such as a completely broken vase that still retains its original shape, it will turn into a pile of pieces if you touch it with your hand or if a gust of wind blows. The few severed bones in Wu Jun's arm are in such a state.
"Dear directors, experts, and authoritative professors with rich clinical experience, please tell someone Chen, is what you see on this film a simple fracture?" Chen Ling pointed to the X-ray on the screen and asked indifferently.
The conference room, which had been noisy just a few minutes ago, suddenly became silent, and the experts and professors who had been chattering incessantly just now were even more embarrassed.
This, where is there still a simple fracture, which is a large fracture surrounded by a small fracture, a fracture within a fracture, countless countless fractures...... In short, it is a comminuted fracture!
For such a fracture, external fixation is not necessary to think about at all, because manual reduction must be pulled hard, but as long as the force is forced, the broken bones inside will be scattered, and the arm will be filled with countless free bone fragments, and then infection will occur, embolism will occur, and necrosis may also occur.
Internal fixation, that is, cutting the arm, using a wire to tie the steel bar to fix the method is also not feasible, because the bone has been completely broken, inch by inch fracture is too conservative to speak, to be precise, the centimeter fracture, complete fracture, now just rely on a kind of inertia or some other lucky factor to maintain the intact shape, but at any time it may be scattered, once scattered, it will become a pile of pieces, this is medicine, it is surgery, and it is not a puzzle, not to mention that such a puzzle is like a puzzle master can not be played!
Yes, Chen Ling's diagnosis was correct!
Amputation, you have to amputate your leg, it's the only treatment.
Reason, in order to avoid serious infection, in order to avoid necrosis, in order to avoid various irreversible complications.
After seeing the true condition of the bones, a group of experts all froze there, and for a long, long time, no one said a word.
Slap in the face, this is an extremely serious slap in the face.
A group of experts, a group of authorities in the Department of Trauma and Orthopedics, the short ones have been engaged in clinical surgery for more than ten years, but the long ones have been more than forty years, but they are not even as good as a new resident doctor who has been hired for less than three months.
People can't look good, sea water can't be measured, and fractures can't just look at the superficial symptoms.
Ginger is indeed old and spicy, but chili is small and spicy!
Chen Ling's little pepper stepped on a pile of old ginger!
"Ah~~~~" Just when a group of experts were looking for face all over the ground, there was already a terrible scream from the other end of the emergency room!
The crowd didn't care about discussing it anymore...... Anyway, the results are already here, and there is nothing to discuss, so they rushed out.
When he arrived at the emergency room, he found that Wu Jun, who was lying on the bed, had one arm soft next to him like a noodle, but his body was moving around, and his mouth let out bursts of earth-shattering wails.
Next to the bed, Wu Jun's old wood and old sister were standing there stupidly, one holding a handkerchief and the other holding an ice cube.
You don't have to guess, everyone can know what happened, Wu Jun's old wood wanted to wipe the blood stains on his son's body, Wu Jun's old sister thought she was smart and wanted to use ice cubes to relieve her brother's pain and was swollen, but I don't know who touched Wu Jun's arm, and then the bones inside...... What about the bones inside, let's talk about it after an X-ray, the first-class expert who was seriously slapped in the face just now thought so cautiously.
X-ray at the emergency bedside, instant flush results!
When everyone saw the X-ray photos of Wu Jun's arm bones again, they couldn't help but gasp a few times again.
Scattered, scattered! Broken, shattered!
It's over, it's over, it's gone, it's gone......
All the experts invariably remembered this ballad, because the four broken bones that seemed to be intact had all been scattered, and now the arms were wrapped in broken bones and free bones!
While lamenting, a group of experts also felt lucky, because this Wu Jun's bones were scattered sooner or later, just right, if it wasn't for his old wood and old sister who touched it, but just when they were inspecting it carelessly...... Then they can't wash it off even with Liby dish soap!