Chapter Seventy-Nine: Enough
Zeng Hui then looked at Chen Gong and whispered:
"I've been in it for a week, at least I can understand the reading, right?"
Chen Gong nodded: "Well, you can." ”
Zeng Hui smiled and nodded.
Then he said to Zhang Juan: "How is the patient's physical condition assessment and pain?" ”
"If it's not well tolerated, anesthesia may be needed."
Zhang Juan on the side sighed: "The tolerance is very strong!" ”
Or rather...... The patient's mental condition is much more severe than that of a dislocation. ”
"A week ago, I suddenly had drooling at the left corner of my mouth, difficulty chewing, choking on drinking water, accompanied by speech problems, and my mouth could not be closed."
"But, strangely...... The patient has no headache or dizziness, and his state of consciousness is not much different from before, and there is no limb dysfunction. ”
"When I was admitted to the hospital, I did a CT scan of the head, and first there was a lacunar cerebral infarction, and we suspected that it was a cerebral infarction, so we were admitted to the hospital."
"This is the third hospitalization this year, and I obviously feel that the elderly have significantly decreased their perceptual ability."
"This arm is dislocated...... If it weren't for the fact that the patient saw him behaving strangely, I wouldn't have known! ”
"You said you dislocated, doesn't it hurt?"
"Hey......"
Hearing Zhang Juan's words, the old man's daughter stood aside, and she couldn't help but feel sad.
In my impression, the tall and burly, majestic father who could easily lift him high and run crazy on his back......
Now she sat there, her head bowed, not saying a word, and when she and her father met their eyes, they even ...... He would bow his head in fear and dodge, like a child who has made a mistake.
Seeing this scene, the woman's nose was sour, and tears instantly filled her eyes.
She hurriedly scratched her head and wiped her tears.
Fortunately, her father still remembers her.
Patients with Alzheimer's disease, over time, forget everything.
However, every morning, when my father got up, he would still prepare breakfast for himself, carefully peel the eggs, take out the yolks, and then stand at the door with his schoolbag and tell himself, "It's time to go to school...... Remember to eat breakfast......"
Therefore, no matter how busy and tired she is at work, she still takes good care of her father.
Because she knows that she may still have children and husbands, but ...... She was her father's last concern in the world.
Zeng Hui took a deep breath and looked at the woman with a bit of good feelings.
Because I have seen too many trivial disputes, this family affection is even more precious.
"I'll give your father a brief check-up, and you ask him to cooperate."
When the woman heard this, she said to her father, "Dad, the doctor will examine your arm, you are in pain and talking." ”
Only then did the old man look up at Zeng Hui, smiled, nodded, and did not say a word.
At this time, Zeng Hui slowly raised the old man's arm, and then slightly touched the shoulder joint cavity with one hand.
Suddenly, there was a not-so-obvious bone friction sound.
Then, Zeng Hui pressed it slightly: "Does it hurt?" ”
The old man didn't seem to hear, and the woman raised her voice and asked her father, "Dad, does it hurt?" ”
When the old man heard his daughter's question, he immediately laughed and said vaguely:
"Dad doesn't hurt, dad is fine......"
"Go to school."
"Dad doesn't hurt, Dad is fine......"
"It's okay...... It's all right......"
When these words came out, the woman couldn't hold back any longer, and tears burst out of her eyes in an instant.
The man hasn't changed at all.
Even now, it's the same as it was then, and I don't want to worry about it.
Perhaps, the years are endless, the white horse is fleeting, and the love that has lasted for decades is unquenchable.
Father's love is silent!
Chen Gong stood there and didn't speak for a long time, but the glint in his eyes betrayed his composure.
My father said that a person who does not have empathy cannot be a good doctor.
However, a person who is too empathetic cannot be a good doctor.
Chen Gong didn't understand it before, but now that he is in the clinic, after he saw it with his own eyes, he suddenly understood.
It's called empathy, right?
And isn't that the meaning of medicine?
It didn't take long for the woman to return, and the reddened eye sockets were the result of the story.
"Director Zeng, my father...... What do you think? ”
Zeng Hui smiled appeasefully: "It's not a big problem, you don't need anesthesia......"
"The old man's perception has decreased too much."
"It can be reset directly."
"But the old man needs to stand up."
"Can he stand up?"
The woman nodded, "yes, that's okay...... He can also cook for himself. ”
"I just didn't expect that this time I suddenly couldn't speak clearly, and then drooled...... It was also difficult to eat, and I choked on water as soon as I drank it. ”
"Hey......"
"I'm a little scared."
Zeng Hui heard the sound and nodded, as a matter of neurology, he was not an expert, and he did not have much right to speak.
Just do your job.
"Xiao Chen, come and do it with me."
Zeng Hui can do it by himself, but ...... He still gave Chen Gong such a chance to do it.
"If it were you, what would you choose?"
Zeng Hui glanced at Chen Gong.
Chen Gong hesitated for a moment and then said, "I will choose the chair reset method." ”
After Zeng Hui listened, he immediately glanced at Chen Gong curiously, because the chair reduction method was indeed the most suitable technique for the old man.
Don't think it's easy.
Similarly, for anterior shoulder dislocation, there are 11 classic reduction techniques.
The Koolis method is more practical.
However, the elderly do not need it at all, and the success rate of the Coriolis method is 81%-100%.
Although simple, applying resistance when abducting the affected limb and actively externally rotating the shoulder at 70 to 80° can cause brachial plexus injury if the patient does not comply well.
This is critical.
The old man's mental outlook at this time did not look very good.
Being a doctor is not only to judge the patient's condition, but also to make a comprehensive judgment.
Therefore, the chair reset method is the best.
Zeng Hui looked at Chen Gong and was a little surprised: "Not bad!" ”
"It seems that there has been a lot of harvest in the past few days."
The chair reduction method is a traction-based reduction method.
The patient sits sideways in a chair with the affected limb around the back of the chair.
The doctor supinates the forearm and the patient slowly stands up.
It is not very difficult to operate.
"Tell me about the chair." Zeng Hui said to Chen Gong.
Chen Gong directly recited a detail.
This made Zeng Hui's recognition of Chen Gong a little more, and he hesitated for a moment.
"I'll take care of the patient's position." Zeng Hui looked at Chen Gong, and his eyes were a little more solemn: "You come and pull your arm." ”
"Can you?!"
Zeng Hui's tone had a kind of sharpness and solemnity that he rarely saw in the past.
Chen Gong nodded firmly: "Yes!" ”
As he spoke, Zeng Hui stood opposite the patient, posed, and Chen Gong held the patient's arm.
The moment he clenched his arm, he seemed to be able to clearly perceive the specific situation of the patient's dislocated limb.
It seems that three-dimensional positioning appears directly in front of the eyes.
"Let's go!"
"Roger!"
Reduction is a matter of ingenuity, not a dead force, but a force that conforms to biomechanics, the angle of the bone, etc., to give a force.
According to the American Institute of Orthopaedic Surgery, the force of shoulder reduction may only be about 2.9 kg.
However, how to use the 2.9kg force to use the lever principle of the bone joint to skillfully send it into the joint cavity.
This is a real consideration of the quality of doctors!
I even did a competition abroad and found that the theoretical data of 2.9kg could not appear at all, and the best result was 4.7kg!
And when Chen Gong started to operate, he even transferred the bone power in his mind, the distance between the joint cavities, and the angle ...... It's been accurately calculated.
At this time, after Zeng Hui gave the order, he was about to lift the patient, and at this time, a force and acceleration were generated.
And at this time, he had estimated that he would need a little more height and distance.
"Open ......"
"Click......"
Before Zeng Hui could speak, Chen Gong had already started.
A crisp voice rang out.
Sweat broke out on the top of Zeng Hui's head instantly.
"It's early!"
Zeng Hui's face changed.
This strength should not be enough.
You won't be in it, will you?
But when he checked it, he found ......
"It worked!"
This kid......
Zeng Hui glanced at Chen Gong in some surprise, could it be...... Coincidental?
How is this enough?
After Zeng Hui carefully checked again, he found that the anastomosis was still very high.
That's too little, isn't it?
That's about 3-4kg of strength, right?
This kid......
Zeng Hui pulled Chen Gong to the side and whispered, "The time was a little early just now, and the strength was small, so it was easy to fail." ”
"You're in luck this time."
Chen Gong looked at Zeng Hui curiously: "I estimated the situation at the time, it should be okay, the old man's joint cavity space ratio is increased, and the strength of the muscles is insufficient, this strength is enough." ”
Zeng Hui was stunned when he heard this: "You did it on purpose?" ”
Chen Gong rolled his eyes: "Otherwise?" calculated, in fact...... It's not hard either. ”
Zeng Hui felt uncomfortable when he heard Chen Gong pretending to be forced, but he was so angry that he almost moved: "You kid, give you some sunshine, it's not going to be brilliant!" ”
"It's not even close!"
At this time, Zhang Juan greeted the old man for a little activity, and then greeted his family and Zeng Hui on the side.
Chen Gong was not interested in this, but looked at the patient's face and always felt ...... It's kind of weird.
He couldn't say what was wrong.
At this time, the old man drooled, and Chen Gong hurriedly took out a paper to wipe it.
This time!
He found it weird......
I see!
Chen Gong's face was excited, he seemed to have discovered something amazing.
……
ps: It's confirmed, brothers and sisters, it will be on the shelves at 12 noon next Tuesday, and there are still three or four days, please hold on for two days.
Please.