Xiao He, currently in the first year of a professional master's degree, has been in charge of beds since he entered the department in August, and it has been less than three and a half months.

I am quite familiar with the 'line-up' with patients and their families who undergo elective surgery, but I have little experience in negotiating with emergency patients and their families.

Xiao He's body, placed in the crowd, is no longer thin, but the dried bean strips of one meter and seven five are really a small man in the orthopedic surgeon's pile, and Fang Ziye is at least one circle stronger than him.

Not to mention trembling at this time, but also a little helplessly explained to the people around him: "I can understand your anxiety, but at present, the senior doctors in our department are all doing surgery and emergency consultation. ”

"Can you wait a little longer?"

"We're also an emergency, so we have to pay attention to a first-come, first-served basis, right?" Xiao He's explanation had no effect at all.

Fang Ziye didn't come to see the play, so he didn't make Xiao He embarrassed anymore, so he pulled the mask up and said in a deep voice: "Xiao He, what's going on here?" Didn't you say that there were two emergency patients in the department? ”

Hearing Fang Ziye speak, Xiao He hurriedly turned his head, his face full of joy.

Subconsciously shouted: "Senior Brother Fang, the emergency patient is here." ”

The five people also turned their heads in response, and saw Fang Ziye wearing a sterile surgical gown in the operating room, walking calmly, but they stopped first.

After Fang Ziye took a closer look, he found that the two patients were a man and a woman, the man was a young man in his thirties, and the companion should be his friend, and both of them were scanning Fang Ziye up and down.

The female patient is an aunt in her fifties, and the accompanying person should be her husband and children, but the specific identity is still open to discussion for the time being.

"Doctor, I came first." The aunt held the elbow of her right hand with her left hand and responded first.

Although he is not a medical practitioner, people with a little common sense know that green clothes are worn during surgery, and they will not wear badges, and Fang Ziye should be a senior doctor, at least more reliable than the doctor on duty here.

"Hello, my name is Fang Ziye, I just received your doctor Jin, and I am currently in the emergency department with an emergency consultation with a major trauma, and I can't leave for the time being, so I am entrusted to go back to the ward first and help you deal with it first."

"You two, who came first? Is the inspection done? Fang Ziye walked to the front and back of the crowd, and after asking in a very comfortable voice, he sat in front of the computer a little old-fashioned.

Fang Ziye knew that in such an emergency, you should not explain so much, and if you can handle it, you can directly talk to them about the problem, so as to try to calm the patient's emotions.

Before the woman could speak, her daughter asked, "Doctor, are you Dr. Kim's superior?" ”

At the same time, his eyes flickered, as if he was measuring the age of Fang Ziye and Jin Hongzhou.

"Dr. Jin is my superior, but the joint dislocation manual reduction is relatively simple, and there is no need for a senior doctor to deal with it."

"What's your medical record number?" Fang Ziye skipped again and asked.

Diagnosis is made first, and after the diagnosis is confirmed, the indications for manual reduction are evaluated, which is the reception procedure. If you are sure that manual reduction is possible, then talk about treatment.

"You're still a student, right?" The woman's husband didn't lose a word coldly.

Hearing the patient's family say this, Xiao He helped: "This is my senior brother, and he is also more experienced than me." ”

"What are you dealing with as a student, Dr. Kim? What about the superiors in your department? ”

"Such a big hospital, send you, a student, to treat patients?" After the patient's husband confirmed Fang Ziye's identity, he had the confidence to start questioning.

Fang Ziye replied: "At present, during the annual meeting of orthopedics, most of our professors in orthopedics have gone to hold academic conferences, which have been approved by the hospital. ”

"The rest of the superiors are in the operating room, and they can't leave for the time being. Dr. Kim is in urgent trouble, Auntie, if you are particularly anxious, I can show you first. ”

"If you are willing to wait for a while, then I will show this big brother first, it is useless for you to make a fuss here, the emergency consultation in our department is on duty, that is, Dr. Jin is on duty, but there is also a priority in the emergency department."

"Joint dislocation like yours is a sub-emergency, I hope you can understand......"

Fang Ziye made it clear, not to mention that the professors are not there, the professors are here, and they will not come forward to deal with small cases (cases) like yours, you still have to wait, not to mention the situation that you can't leave now.

Hearing Fang Ziye say this, it was estimated that the two young people behind him had other things, so he asked, "Eldest sister, will you show Doctor Fang first?" If you don't watch, why don't I come first? ”

The young man who spoke was the patient, and what he actually thought in his heart was that this was a top tertiary hospital, and even if he couldn't leave, the hospital would not send unreliable doctors.

Students are students, master's brothers, no matter how bad they are, they are at least senior masters, and maybe even doctors, it is not difficult to dislocate, and it is okay to be dealt with.

The women, husband and wife, as well as their daughters, did not speak again, as if they had acquiesced in the young man's queue.

After the young man reported the medical record number on his QR code, Fang Ziye found his plain X-ray.

Joint dislocation needs to be diagnosed by reading the film and physical examination.

However, Jin Hongzhou had already done the physical examination in advance, and he fully suspected the dislocation, so Fang Ziye did not need to correct the physical examination that Jin Hongzhou had already done, but only needed to read the film to confirm the diagnosis and evaluate whether it was in line with manual reduction.

The prolapse of the humeral head from the shoulder socket is typical of anterior shoulder dislocation.

After watching it carefully for more than forty seconds, Fang Ziye said to Xiao He: "Xiao He, you go and print an informed consent form for the operation of joint dislocation manual reduction." ”

Then he looked at the young man, and then combined with the emergency medical record written by Jin Hongzhou written by Xiao He, he said: "Brother, your situation is a typical anterior shoulder dislocation, and the preferred treatment is manual reduction, but there is a certain success rate in manual reduction. ”

"The general success rate is about 70 percent, and if multiple attempts at manual reduction are unsuccessful, surgical reduction may be required."

"Do you want to try to reset it?"

"Can you reset it?" The young man asked Fang Ziye rhetorically.

Fang Ziye took the pen from Xiao He's chest, added the results of the X-ray examination to the emergency medical record, and added a sentence that suggested that the patient undergo manual reduction treatment, and if necessary, surgical reduction. The forearm sling is fixed after reduction.

"If you don't go up, you may need to wait for your superiors or manual reset, but it's an attempt."

"Nothing is 100 percent, and if it's a 100 percent chance, it's definitely a lie." Fang Ziye looked at him as he wrote, patiently explaining.

Although Fang Ziye also wanted to gain knowledge points through operation, and for this opportunity, he had already increased the manual reduction technique to level 3, but Fang Ziye still didn't dare to jump the program and talk big for the sake of operation.

It's not a small mistake to say big things for the sake of operation, it's a brain circuit and IQ that are completely inconsistent with your own cognition.

Whether patients believe in themselves or not, it is understandable and natural.

The young man hesitated for half a minute, and when he saw that Fang Ziye was not alarmed, nor flustered, nor in a hurry, he still nodded.