Qin Xuehai is even special to Chen Gong, who is already familiar with him.

But......

After hearing Chen Gong's words, the corners of his mouth twitched, and the trigeminal nerve began to stimulate the blood vessels, causing bursts of discomfort.

Wait a minute!

Are we talking about the same topic?

I'm talking about medicine as an incomplete discipline, and I mean...... Medicine is a development discipline with many imperfections.

You're good......

Divergent thinking is enough.

You directly put the psychology of criminal investigation, morphology, aesthetics...... combined.

Is this medicine?

What do you think of a doctor?

Doctors are human beings, too!

Medicine is already tedious enough, hard enough, tired enough, enough to study, and enough to take exams.

You're good!

This also puts a burden on the doctors!

Does the state still need to reduce the burden on children?

Don't look at me at 50 years old, who is not a 600-month-old baby?

Qin Xuehai had an opinion in his heart.

"Xiao Chen, although medicine is an imperfect development discipline, it ...... You're ...... Idea...... Compare...... It's more extreme! ”

"This doctor's energy is limited, and he can only use the limited time he has to focus on the key places."

"It's already hard!"

"You...... I know you have a talent for learning, but ...... You have to prioritize everything. ”

"Don't dare to go astray!"

Qin Xuehai smiled awkwardly.

Chen Gong nodded: "Director Qin is educated." ”

"I remember."

Qin Xuehai looked at Chen Gong's eyes that were still shining, he was stunned for a moment, he knew that this kid had remembered.

But I didn't take it seriously at all.

However, Qin Xuehai was not worried.

After all, Chen Gong is still a newborn calf and is not afraid of tigers.

After a long time and being clinically tortured for a period of time, I will know what I said.

At this time......

Qin Xuehai waved his hand, smiled, and was about to speak, when Zeng Hui walked in outside.

He glanced at Chen Gong with a strange expression, and then looked at Qin Xuehai with some distress:

"Director Qin, there is a patient with shoulder dislocation, please help see if there is a possibility of manual reduction."

Hearing this, Qin Xuehai nodded: "Let's go, I'll show you one of the most basic techniques of orthopedics." ”

Zeng Hui stood aside and smiled: "The most basic? ”

"Hehe, this is also the hardest technique!"

"Xiao Chen, you remember, as long as it is a clinical skill, there is no distinction between high and low."

"Those who can cure patients are top-notch techniques."

"There is no basic technology, only the most basic people."

"You, don't listen to Director Qin Versailles, his level of reset is the top in our province."

"You also come to see the world."

"Let me tell you, manual reset, it is easy to say, but the difficulty is not low, especially for different levels, the effect of resetting is not the same......"

Chen Gong took out his notebook this time, palm-sized, brown leather wrapped, and finger thick.

Chen Gong bought a lot of these notebooks.

When he was in high school, he had nearly two boxes in stock.

If He Mingliang saw this notebook, he would definitely be silent for a while, but he had seen Chen Gong's unusual appearance in this notebook.

"Mr. Zeng, I know that manual reduction is a manual recovery for joint dislocation, is there any key point?"

Zeng Hui also smiled when he saw Chen Gong's studious look.

Chen Gong's words just now, in Zeng Hui's eyes, are actually not much different from children talking and laughing.

Just as when he was 18 years old, his dream was to buy a villa and drive a sports car at 25, but when he was 23 years old, this dream was reduced to a BMW and a large flat, and when he was 25 years old, the dream again became a full-payment scooter and a down payment house.

Kids!

Always with fantasies.

However, medicine should not be under the illusion.

Zeng Hui patiently explained:

"Manual reduction is mainly operated by manual techniques to obtain anatomical or functional reduction of displaced fractures or dislocated joints."

"There are a lot of exquisiteness in this technique of resetting."

"The first is the technique, which is also the key to this technique, for example, joint dislocation, also called dislocation."

"After joint dislocation, there will inevitably be damage to the joint capsule, ligaments, articular cartilage, muscles and other tissues."

"This injury can be mild or severe, with surrounding hematomas and abscesses, and if the manipulation and force are too violent, it will inevitably affect the reduction effect."

"Moreover, it will bring secondary damage!"

"In general, the fewer manual resets, the more accurate the reset, and the faster the recovery."

"In clinical practice, there are many cases where open reduction surgery is necessary after the failure of manual reduction."

"As a result, patients not only spend more time recovering, but they also spend more money."

"Therefore, the difficulty of manual reset lies in the technique."

"And precision, in reset."

"Reduction, to restore the original function and structure, and to avoid damage, requires a solid foundation and rich experience and technology."

"You say, can this kind of surgery be a minor operation?"

After Chen Gong listened, he nodded thoughtfully.

His thinking has followed Zeng Hui's explanation and formed his own unique understanding.

"Joint dislocation...... The organization and structure were destroyed. ”

"What knowledge and skills do you need to have in order to master this skill?"

"Need to conform to biomechanics, human histology, local anatomy, ......"

After pondering for a while, Chen Gong followed Zeng Hui and Qin Xuehai to the disposal room.

The patient was a little boy, four or five years old, with his shoulders drooping and his face crying.

Obviously, the fear of this dislocation far outweighs the pain.

Children are prone to dislocated arms, and Chen Gong also knows a little.

There are two main reasons.

The first is that because the child is not yet fully developed and the muscles and ligaments are weak, even if some relatively small external force is subjected, it may cause elbow dislocation, the most common being radial head subluxation and shoulder dislocation.

Second, if parents or other parents take care of their children with improper force, such as pulling the child's arm with one hand, it may cause dislocation.

In general, this situation can be solved on an outpatient basis.

But the position of this little boy is more peculiar, it belongs to the posterior dislocation of the shoulder joint.

Shoulder dislocation is not uncommon, accounting for about 38~40% of large joint dislocations throughout the body.

However, 95% of these are anterior dislocations, posterior dislocations are rarely seen, and upper and lower dislocations are extremely rare.

Chen Gong's basic skills are very solid, and all kinds of information about shoulder dislocation instantly appeared in his mind.

Although he has not yet learned about orthopedic diseases, he ...... As a medical student, do you still need to be urged to study?

Can't consciously learn?

At this time, the child's mother was still blaming the man.

"Let you take a good look at the child, let you take a good look at the child, you don't have to worry about it at all!"

"It's good, the child's arm is dislocated!"

"Let me tell you, Xia Donghai, the doctor said that a child's joint dislocation is easy to form a habitual dislocation, which will affect his life in the future!"

"I wondered, why is it so hard for you to watch the children for a day?"

The man listened to his wife's complaints, and did not return the favor, smiled awkwardly, and handed the X film in his hand to Qin Xuehai.

"Director Qin, we went to the outpatient clinic just now, and the outpatient doctor said that this is a posterior dislocation, and if it is reduced manually, they can't do it, let me come to you."

"Look at it...... Can my child go without surgery? ”

"This four- or five-year-old kid is frightened if it is an operation...... I'm worried about ......"

"So, can you reset it by hand to cure it?"

Qin Xuehai nodded, picked up the film and watched it carefully: "I'll take a look at the situation first, but I can't draw conclusions to you now." ”

A child's fear of a doctor in a white coat comes from the depths of his soul.

After all, from the beginning of birth, you have to go to the community from time to time to get vaccinated.

Therefore, the fear of doctors has gone deep into the bone marrow.

Seeing that the child was so frightened that he didn't say a word, the child's mother hurriedly hugged the child, and tears of distress were about to flow out.

The man stood aside, at a loss, scratching his head for a while, trying to comfort the child, but was pushed away by his wife.

"Xia Donghai, you are really not responsible at all!"

The man smiled awkwardly: "Isn't this playing with the child......"

The woman glanced at the man viciously: "Hmph! ”

When Chen Gong saw this scene, he suddenly remembered the joke on the Internet.

When the child is not in danger...... The father is the greatest danger......

Although it is a joke, most of the time, my father is not as careful as my mother.

However, at this time, Qin Xuehai glanced up at the little boy, and then said, "Come, I'll take a look at your arm." ”

"If it hurts, tell grandpa, okay?"

The little boy just opened his mouth to speak, but ...... His mouth opened, and before he could finish his words, he began to cry.

"Grandpa, do I have no arms......

"I ...... I can't move......"

"Woo ......"

Qin Xuehai immediately touched the child's head: "Don't be afraid, you'll be fine soon." ”

Then Qin Xuehai and Zeng Hui observed and touched the shoulder joint, and then had a plan in their hearts and said:

"Let's use the Koolis method."

Zeng Hui nodded: "Well, I think it's feasible." ”

While speaking, Qin Xuehai held the wrist with one hand, flexed the elbow to 90 degrees, relaxed the biceps, held the elbow with the other hand, continued traction, slight abduction, and gradually externally rotated the upper arm, and then adducted the elbow along the chest wall near the midline, and then internally rotated the upper arm.

This set of actions is smooth.

With a burst of sounds.

All right!

Chen Gong was carefully observing at this time, and suddenly heard the system prompt sound.

【Ding! Findings: Manual reduction of the shoulder. 】

[Mastery requirements: 1. Biomechanics hand (already owned); 2. Local tissue anatomy of the shoulder joint lv2 (already owned); 3. Pathology of joint dislocation (not mastered); 4. Joint reduction technique (not mastered)】

[Tips: After mastering the above skills, spend 10,000 points to get shoulder joint manual reduction.] 】