Although it is said that the previous addition of the technique reset technique consumed more than ten times the knowledge points, but the skill is upgraded to be your own, and what you earn more is pure earning.

When I went out of the door of the operation room, I saw that the family of three was clubbing at the door of the operation room, looking curiously at the operation room, and seeing the young man teasing Xiao Hehua with a hippie smile at the moment, he looked at Fang Ziye with a hesitant look on his face.

After a few seconds, the woman herself spoke first: "That, Doctor Fang, can you handle my dislocation?" ”

She changed her name.

"You're willing to give me a chance to try, and it might work, but it's certainly not as good as Dr. Kim's." Fang Ziye said it even lower.

"Give it a try." Her husband touched her elbow and whispered advice.

"Doctor Fang?" Auntie was still a little embarrassed, so her tone was pleading.

"Auntie, you don't have to be embarrassed, if you want to believe my words, we can go to see the plain film first to confirm the diagnosis. If I don't have the ability to handle it well, then I won't do it. "Dealing with a patient is something that very immature people will consider.

Solving the problem, even if it is just to help diagnose it, and make sure that manual reduction can be done, can avoid medical disputes.

Orthopedics is the place where medical disputes occur most in surgery because of the obvious palpable pain and injury of patients when they are admitted to the hospital.

"Thank you, Dr. Fang!" The three of them thanked them first, entered the office with Fang Ziye, and reported the medical record number.

Dislocation is only the humeral head, acromion, scapula and other structures of the shoulder joint, which are relatively fixed, and the difference in dislocation is actually the deviation and displacement of the humeral head relative to these structures.

When the X-ray shows the shoulder joint level, the best thing to see is the fracture, and then the dislocation, and through the degree and angle of the dislocation, the possibility of soft tissue injury can be inferred without the diagnosis assisted by MRI!

This is not difficult, Fang Ziye's X-ray reading has reached level 3......

However, after Fang Ziye ruled out the diagnosis of fracture through X-ray, and then through the angle listed on X-ray and the magnitude of the dislocation-

Fang Ziye glanced at the aunt, and then explained: "Auntie, your situation, the temporary diagnosis is very clear, it is the same as the eldest brother just now, it belongs to the anterior dislocation, but you belong to the anterior dislocation of the shoulder joint with mild to moderate injury." ”

"What does it mean to be mild? It's an anterior shoulder dislocation, and there is an assessment of severity. ”

"Mild is: anterior shoulder dislocation involving only the anterior part below the rotator cuff, which remains in the socket above the rotator cuff, and mild muscle or ligament damage. That's how that big brother was just now. ”

"Moderate is: the upper part of the rotator cuff is out of the socket, and the anterior part below the rotator cuff has been displaced, and the muscles and ligaments are more severely damaged."

"You're not moderate yet, but you're close, a little more serious than his, so I'm going to have to give you a physical exam."

Fang Ziye explained the professional terms, maybe the professional content can't be understood, but mild to moderate, the other party can probably have an understanding!

Listening to what Fang Ziye said, the aunt's daughter was stunned:

"So serious?"

"That? What are the chances of a soft tissue injury or rotator cuff injury? "She should have a little bit of knowledge about sports injuries. For example, ligament rupture and rotator cuff rupture must be surgically treated.

"From a large-scale statistical point of view, there is only a certain possibility, but for you personally, existence is existence, non-existence, that is, non-existence. Because the damage has reached a level close to moderate. Fang Ziye's answer was ambiguous, but it was actually extremely professional.

Statistically significant, only useful under big data, for individuals, every possibility is 100%!

"That? That's really no way, my mother's reset, will it not be able to reset, and then cause other damage or something, right? The girl continued, and the natural tone would have been much better.

"Doctor, you didn't scare us just because we had a bad attitude towards you, did you?" Auntie's husband made a joke with a smile.

The corners of Fang Ziye's mouth smiled: "Then this doesn't exist, instead of scaring you, it is better to tell you directly that the current doctors in our hospital can't handle it, just to be more accurate, I have to do more physical examinations to ensure the accuracy of the diagnosis." ”

"I'm going to do a few tests for you to make sure that this is a simple anterior dislocation......

Fang Ziye immediately followed and said a very professional word, which is also what Fang Ziye wants to do-

That is, the classic sequential physical examination operation to diagnose anterior shoulder dislocation, the process and description of the operation are a bit complex and professional.

The purpose and procedure of the Apprehension test (fear test), relocation test, and release test of the shoulder joint.

After speaking, the other party was a little confused, but Fang Ziye had a large list of absolutely professional words, which directly made them trust Fang Ziye a little more.

After getting the consent, Fang Ziye took the aunt into the operation room, and let the aunt's daughter watch inside to avoid "medical disputes" - when contacting a female patient and doing a physical examination, there must be a third-party witness, preferably a family member of the patient, or a member of the opposite sex in the hospital.

Of course, at the same time that the patient's daughter was there, Xiao He was also there.

Xiao He was on the side, observing and making comparisons.

After Fang Ziye's operation, he asked Xiao He to take his family to talk and sign first: "Auntie, the current diagnosis is clear, and it can be dealt with by manual reduction, and ah, the current degree of dislocation should not be moderate, only mild, so the chance of soft tissue injury is not large." ”

"After signing and paying, we can do a reset."

Xiao He left the operation room with her daughter, and the aunt was a little confused at this time: "Doctor, you just trained me a few times, and it was quite comfortable, you can directly help me do the reduction, your skills are so good, you can definitely reset directly." ”

"That's not good, Auntie, the procedure is the procedure, informed consent, conversation signing, it is a process that must be taken, this is your legitimate rights and interests, if I skip it, in a non-emergency situation, it is illegal."

"Wait patiently, don't rush." Fang Ziye will not be fooled, as soon as he goes up, he directly resets.

In case your daughter is knowledgeable and sensible, report it to the medical department.

There is no risk of skipping surgery, but if the patient does not agree to the operation, the treatment will be done, and a layer of skin will have to be removed if he does not die!

This is the blood and tears of many predecessors, without this need, Fang Ziye would not be so good.

A few minutes later.

After the conversation was signed, Fang Ziye saw the signed consent form, and performed the external rotation reduction method again.

This time the operation took a little longer.

It took more than two minutes to reset!

The aunt sighed first, and then immediately felt the pain relieved, and her eyes lit up: "Ouch, ouch, it's comfortable......"

"Yes, Auntie, we can't target you, but your situation will indeed be more serious, and we need to be rigorous." Fang Ziye replied with a smile while feeling the +15 knowledge point.

After all, manual reduction is a thorough diagnosis and treatment of a disease, which is much more than suturing an opening and doing a small debridement suture in the operating room!

Big cargo!