Boom!

Closing the tailgate heavily, Li Xiuli clapped his hands, went around in half a circle, opened the co-pilot door, and sat down.

After fastening his seat belt, Li Xiuli smiled and said, "Miao Miao, let's go home."

Sun Miaomiao rolled her eyes, "What did you do just now, why are you nervous, did you do something bad?"

Li Xiuli smiled without saying a word, leaned comfortably on the seat, his legs were fully extended, and his eyes were closed, "It's nothing, drive!"

Sun Miaomiao puffed out her cheeks and wanted to say something. She looked at the inexplicable Li Xiuli with a little anger, and when she saw the latter's exhausted appearance, she suddenly lost all her anger.

Forget it, I don't care about you!

After forgiving Li Xiuli in her heart, she looked straight ahead again.

Driving on the road back to the county seat of Huiyicheng, there are many vehicles coming and going.

Yicheng is a mountainous area, and the road back to Yicheng from Liuyi Town is a national highway, and there are many vehicles coming and going.

She didn't dare to drive fast.

Back in Yicheng County, it was already late at night.

"Hey!" Sun Miaomiao seemed to be smiling, she slapped Li Xiucheng's ear with her palm, "I'm home."

Li Xiuli suddenly opened his eyes and looked at the back of the car, "Did the centipede come out?"

"What are you asking for?" Sun Miaomiao was a little angry, she pouted, "That centipede is in a bottle, how can it come out, are you funny?"

The corners of Li Xiuli's mouth twitched.

"Yes."

——————————

July 6th.

Li Xiuli received a salary text message on his mobile phone.

The performance is three thousand five, and the manuscript fee is one thousand and five.

With the addition of the basic salary of 2,000, the salary in hand is as much as 7,000.

After deducting the mortgage, he barely met the minimum standard of paying taxes this month and became an honorable taxpayer.

Li Xiuli was happy in his heart.

Last month's salary of the technical consultant of the breeding base, as well as the bonus of the breeding base, as well as the income from selling plasters and cloud hospital apps, totaled more than 6,000.

Last month, I earned more than 10,000 in total!

The monthly income has exceeded 10,000!

In Yicheng, where the average salary of public officials is only about 3,000, his income is already good.

Contentment and happiness, the fun of being a nouveau riche is too boring after all, and you have to slowly experience the process of getting rich!

Li Xiuli found his father Li Jintang's WeChat and transferred 8,000 directly.

"Dad, I'll call you 8,000."

After a while, Li Xiuli's mobile phone rang.

The caller was his father.

"Son, why do you have so much money? I think you don't have a lot of patients, huh? Have you borrowed usury, although our family is poor, we will not borrow usury!"

As soon as Li Xiuli answered the phone, he heard Li Jintang on the other side of the phone crackling and saying non-stop, not giving Li Xiuli a chance to explain at all.

A few months ago, Li Xiuli, who still earned three or four thousand a month, could only give him one or two thousand a month.

For Li Xiuli's family, who still owes hundreds of thousands of dollars, it can be described as a drop in the bucket.

Li Xiuli replied with a smile, "Dad! Rest assured, I earned all this money myself, and I didn't fight or grab it, it was all legal income."

"Really?"

"Really!"

......

It took several minutes to barely convince Li Jintang.

Just as Li Xiuli hung up the phone, his mobile phone rang again.

It was Sun Miaomiao who called.

"Dr. Lee, are you free?"

"Yes! Are you asking me out?" Li Xiuli sat in the office and teased.

"Let's get down to business. I have a patient here who would like to see you."

"Oh, I'll be here later."

"Okay, I'll wait for you." Sun Miaomiao hung up the phone, then clicked on the text message, and glanced at her salary text message.

XX bank payrolls: 15,345.5 yuan......

Ten minutes later.

Li Xiuli parked his motorcycle at the entrance of the North Courtyard of Yicheng Hospital of Traditional Chinese Medicine, and then walked towards the stairwell.

"Dr. Lee!" Just as he was about to ascend the stairs, he heard a familiar voice behind him.

"Dean Liu, I haven't seen you for a long time, you're beautiful again!" Li Xiuli greeted with a smile.

Liu Lan is one of the few leaders in the hospital who values herself.

Especially when she knew that she was good at pediatric massage, she decided to give herself a chance to be on TV.

"It's rare for Dr. Li to come to the North Hospital, is he going to the second rehabilitation department on the third floor?"

In Liu Lan's eyes, the second rehabilitation department on the third floor is the only department similar to Li Xiuli's department in the North Hospital. Therefore, the latter is the most likely to go there.

"I'm going to the second orthopedic department for consultation."

"Consultation?" The corners of Liu Lan's mouth twitched, she tilted her head, and saw her toes from Li Xiuli's hair all the way, "I can't see it, the Second Department of Orthopedics didn't invite the doctor from the Second Department of Rehabilitation to consult, but invited you from the Southern Hospital." She gave a thumbs up and thumbs up like crazy.

"Who asked you for a consultation?" At this time, Liu Lan, who knew the details, did not stop and wanted to know more.

"Doctor Sun, Sun Miaomiao."

"Sun Miaomiao is a big beauty, the flower of our hospital." Liu Lan smiled, revealing an expression that you understand.

"It's okay, she looks as beautiful as Dean Liu when he was young."

Liu Lan was stunned for a moment, and didn't react for a while. Soon, her cheeks began to heat up, "No, when I was young, how could I compare to Sun Miaomiao."

"Don't be modest, Dean Liu, an old staff member of the hospital, who doesn't know that you used to be the flower of our hospital."

With that, Li Xiuli climbed up the stairwell, "Dean Liu, I'll go up first."

"Okay!"

Walking to the door of the second orthopedic department, next to the iron gate, there was a strong smell of smoke.

It's very choking.

Li Xiuli is a non-smoker, and it is very uncomfortable to smell this smoke.

At the end of the corridor, a middle-aged man held a cigarette in his left hand, lowered his head, took a heavy puff, and then swallowed the clouds and exhaled the fog in the direction of the iron gate.

Li Xiuli stood in the smoke and looked at the middle-aged man, "Hello, our hospital is a smoke-free hospital, please don't smoke."

The man kept his head down, put the cigarette butt between his two fingers into his mouth, took a deep puff, and gently spit out a long column of smoke at Li Xiuli.

"Please don't smoke." Li Xiuli reiterated.

The man suddenly looked at Li Xiuli, his smoking movement was obviously much faster, the cigarette butt he put in his mouth emitted red light spots, and the sides of his lips were white mist.

After about ten seconds, he threw the remaining cigarette butt on the ground, stomped on it, and spun it around twice.

Li Xiuli turned around and walked towards the doctor's office.

It stands to reason that nurses preach every patient when they are hospitalized.

Among them, the rule that smoking cannot be carried out in hospitals is one of the essential items.

Could it be an outpatient or a family member?

"Dr. Lee, you're here." At this time, Sun Miaomiao, who was wearing a white coat and carrying the wind all the way, walked out of the office and collided head-on with Li Xiuli, who was about to enter the office.

"Yes. It's okay just now, come over early and have a look."

"The patient is in the ward at the end of the corridor, sixty-eight beds, named Zhou Shixi, the right brachial plexus is injured, you go over and take a look first, I will go later." Sun Miaomiao gave a simple order to Li Xiuli, and then walked towards the nurse's office.

In the entire second orthopedic department, there are many patients and family members standing on both sides of the corridor, and there are some temporary extra beds.

The so-called temporary extra bed is just a hospital bed in the hallway, and then a bedside table, and nothing else.

Putting on his own white coat, Li Xiuli walked out of the office and walked towards the end of the corridor.

Just now, he came over from there.

Knock knock!

Li Xiuli gently knocked on the door of the room, facing several patients and family members in the ward, and asked, "Who is Zhou Shixi?"

There are three beds in one ward, two of which hold several people.

Only the middle ward, which was empty.

"Doctor, he seems to have gone out to smoke." At this time, an old lady replied.

"Thank you." Li Xiuli walked out of the door and looked into the hallway.

The one who was smoking at this time was the middle-aged man who was smoking with his left hand just now.

"Are you Zhou Shixi?"

"That's right." The man had a ten-centimeter cigarette in his mouth, and when he spoke, the cigarette shook and shook, and it was obvious that it had just been lit.

The man pinched the cigarette, the spark was facing the ground, bent his left arm, the cigarette butt was always less than fifteen centimeters from his mouth, "Are you?"

"Okay, you can't smoke here, why did you smoke again?"

"Suck this one!" The man was expressionless, smoking a cigarette to himself.

"I'm Dr. Li from the Department of Acupuncture, and you're the patient with impaired arm movement, right?"

"That's me!" Continue to keep your head down and smoke in large gulps.

Obviously, he listened to Li Xiuli's persuasion, but for some reason, he was reluctant to throw it away.

Li Xiuli didn't dwell on persuasion, he looked at the middle-aged man and found that his right hand didn't move the whole time.

"It's the right hand, right?"

"Don't you see my right hand hanging? If I could move my right hand, I would have been discharged from the hospital a long time ago."

The corners of Li Xiuli's mouth twitched, and the man in front of him had an unfriendly attitude. However, he doesn't care about the patient, "You sit on the hospital bed, I'll check it for you."

"Another test? Didn't I already have a check-up?" The man looked at Li Xiuli in surprise, and he instinctively wanted to refuse.

"Physical exam."

The man took another puff of cigarette, which lasted about fifteen seconds, before he threw the butt on the ground, pressed his leather shoe to the ground, and turned it twice.

Sitting on the hospital bed, the man leaned against the bed that had already been shaken up, grabbed the wrist of his right hand with his left hand, and placed his right hand on his belly.

The brachial plexus has three peripheral branches, namely the radial nerve, ulnar nerve, and median nerve.

The most common causes of brachial plexus injury are traction injuries to the head, neck, shoulders and upper limbs, including car accidents, falls from heights, heavy body crushes, fetal dystocia, etc., which can cause the head and shoulders to be in a separate position, resulting in brachial plexus injury.

Li Xiuli did not look at the patient's medical records, so he could only start by asking about the medical history and do a physical examination together by the way.

"Zhou Shixi, how did your right hand hurt?"

When the man heard this, he hurriedly straightened up and glared at Li Xiuli. He gritted his teeth and pointed his left hand at his right elbow, "Look!"

The right elbow is swollen, and it is noticeably larger than the left elbow. A ten-centimeter-long scar runs from the upper arm to the forearm, with reddish tooth-like marks visible at the edges of the scar one centimeter apart.

"You've had surgery, haven't you? It hasn't been long since the thread was removed."

"Dr. Sun told you everything?"

"Not yet. She's busy, I'll come and take a look first, I haven't read your medical records yet."

The man nodded, but didn't say anything.

"Raise your hand!"

"Can't lift it!" The man gritted his teeth, his head bent to the right, and his neck hunched, like a torticollis patient.

I can't lift it at all.

His entire right hand remained intact, not even a partial muscle twitch.

Muscle strength level 0, muscle paralysis, history of elbow surgery......

Muscle strength is a visual measure of muscle strength and is graded on a scale of 0 to 5.

Grade 0 is complete immobility of the limb and no muscle contraction. Grade 1 is where muscle contraction is visible but does not cause limb movement.

Grade 2 muscle strength is when the limb can move but cannot defy gravity, i.e., the limb cannot be lifted off the bed. Grade 3 muscle strength means that the patient can defy gravity but not resistance, and the patient can usually barely lift off the bed.

Grade 4 muscle strength means that the patient's limb can resist a certain resistance, such as giving a certain resistance when lifting the affected limb, you can feel that the patient's affected limb has a certain resistance.

Grade 5 muscle strength is normal.

Judging from the man's performance, his right hand is completely paralyzed from the shoulder, which belongs to level 0 muscle strength.

Li Xiuli took out a percussion hammer from the pocket of his white coat, and used the tip of the end of the hammer handle to click on the man's right deltoid muscle.

He said, increasing his strength, "Does this hurt?"

The man shook his head, "It doesn't hurt at all!"

Absent pain sensation in the deltoid muscle suggests injury to the upper brachial plexus. He continued to hold the percussion hammer and slid towards the anterior deltoid muscle.

As he swiped slowly, he asked, "Does it hurt?"

The man continued to shake his head, still no!

Sliding to the anterior edge of the anterior deltoid muscle, close to the pectoralis major muscle, the man never cried out of pain.

Leaving the deltoid muscle, reaching the pectoralis major muscle, "Does it hurt here?"

"It still doesn't hurt!"

Li Xiuli frowned, thinking in his heart: the pectoralis major muscle is controlled by the lateral chest and medial chest nerves, and the latter two are separated from the brachial plexus. Therefore, Zhou Shixi's illness is located at the source of the brachial plexus!

The source of the brachial plexus, in the cervical 5678 and thoracic 1 spinal cord. That is, the cause of the patient is not the operation of the elbow joint, but the injury to his neck!

Li Xiuli instantly remembered Zhou Shixi's attitude, could it be that when he was doing surgery, he was given anesthetics, right?

With a bad premonition in his heart, he looked at Zhou Shixi's elbow and reached out to gently pinch the latter's skin, "Does this hurt?"

"It doesn't hurt!"

"You can't move this hand, did it come after the surgery?"

"That's right! Doctor, how do you know? Dr. Sun told you that, right?"

Li Xiuli shook his head, "I just took it for you for an examination and found it."

"Awesome!" Zhou Shixi gave a thumbs up to Li Xiuli.

"Dr. Li, I've been waiting for a long time." At this moment, Sun Miaomiao's voice appeared at the door of the ward.

"It's okay."

There are many orthopedic patients, and they have to see a doctor and have to have surgery, so they are very busy every day, and it is common to work overtime to do surgery until late at night.

"Dr. Li, patient Zhou Shixi suffered a fracture of the lower humerus on the right side after trauma and underwent surgery at the Second People's Hospital of the county. At present, the passive range of motion of the right humerus is normal, but there is complete paralysis of the entire right limb, and electromyography examination was done in the Municipal People's Hospital, indicating total brachial plexus injury......

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196 Total Brachial Plexus Injury Free Read.