The patient Xue Tao called in again was still an anterior shoulder dislocation, an aunt.

However, Fang Ziye still implements the process in a standard manner.

Busy, but not messy.

No matter how familiar you are with this operation, you can't dispose of the reduction before Xue Tao finishes the conversation and signs, which is the bottom line principle.

The first bottom line set by Fang Ziye for himself in the prefecture-level city hospital is not to add to the chaos.

First, do not cause chaos to others, and second, do not allow others to cause chaos to themselves, and arbitrarily interfere with their own rhythm.

In clinical practice, informed consent and informed refusal are equally important, which Fang Ziye himself knows, and Professor Li Guohua has also said it many times in front of Fang Ziye.

Keep it in mind.

Examined, read, examined, and then asked what was going on with this aunt who came in again......

There are many types of shoulder dislocations, including anterior dislocation, posterior dislocation, superior dislocation, inferior dislocation, and the extremely rare lateral dislocation, of which anterior dislocation is the simplest.

Different types of dislocation have different scales, which is the degree of professionalism and meticulousness, and it is absolutely impossible to solve all problems with the same treatment method.

Of course, Fang Ziye can determine that the form of this aunt's dislocation is anterior dislocation of the anterior joint, and the degree of dislocation is mild dislocation, and the mild dislocation of the anterior joint may lead to a small chance of soft tissue damage to the shoulder joint.

After the aunt had made all the preparations, Fang Ziye also saw that her family had already signed their names.

Fang Ziye instructed his aunt to lie down first, and then used the traditional external rotation reduction method to easily solve the problem of dislocation.

"Auntie, don't be nervous, it's okay, there will be a slight pain."

"Click! ~" After Fang Ziye finished speaking, the sound of dislocation and reset sounded, which was extremely crisp.

At the same time, under Fang Ziye's more verbal comfort, the aunt's mood gradually calmed down. It was just that when it was a little painful, I tensed up a little, and immediately felt the pain go from a slight relaxation at the time of traction to an absolute relaxation.

After feeling that all the pain was relieved, she asked, "Isn't it okay for me to do this?" ”

"Well, Aunt Xian (Auntie), you can stand up, move a little, and feel if there is anything else uncomfortable." Fang Ziye is still shouting the local name.

The whole process of resetting lasted only about a minute.

And at this time, Xue Tao just finished the diagnosis, and went out to find the family to briefly explain the situation, and then signed back, only to turn around, and saw that Fang Ziye seemed to have completed the reset.

My heart sank—

What kind of Ph.D. is this? I was in the department, but I was a subordinate of the original joint surgery department!

At present, in the joint reduction area, except for Director Zhang Mingcan, other people's manual reduction, including Director Hongdu's group, Huang Kai, who is more senior than himself, is not as good as himself.

It's just that his own strength seems to be a little unsightly in front of Fang Ziye.

But this is not right, when I first went to Zhongnan Hospital for further study, it was three years ago, and among the young generation there, the most powerful person should be Yuan Weihong, and Yuan Weihong's strength in manual reduction at that time was not so good.

This recipe is ......

Most of the places where the central hospital is concentrated are Zhongnan Hospital and the Provincial People's Hospital, after all, they are all affiliated departments of Han University.

Xue Tao studied in the trauma surgery department of Zhongnan Hospital, at that time, he had never seen such a person as Fang Ziye, only knew that Yuan Weihong, the general inpatient of trauma surgery, was a brute, and he was promoted to attending during the total hospitalization.

Xue Tao's nostrils were slightly dilated, and his thick eyebrows were squeezed into two balls......

Fang Ziye said again: "It's okay, Auntie, don't be nervous, you look very nervous, in fact, it's nothing, it's just a simple mild dislocation, just go out and put on a forearm sling, okay?" ”

"Okay, thank you, doctor." After Auntie didn't feel the pain, she quickly nodded!

I think the speed this time is a bit fast, and the process is not shocking.

If you can solve the problem, you are a good doctor.

"Thank you, doctor." She repeated to Xue Tao again.

"It's all about your skills." By the way, she even praised Xue Tao together, thinking that Xue Tao was Fang Ziye's teacher after all......

Fang Ziye smiled very happily, he felt that sometimes this kind of knowing smile recognized by patients was not a large amount of knowledge income, which could be compared.

Naturally, the reduction of these two dislocations adds up to 10 knowledge points, which is far less than half of the previous irreducible anterior hip dislocation.

This is not mosquito meat, but a small bite of meat, the kind that can return a little bit of blood.

Fang Ziye didn't see Xue Tao let him stop, he probably realized that if he directly dealt with the patient now, he would be faster than him.

Although Xue Tao looked at him with scrutinizing eyes, Fang Ziye did not panic at all.

His manual reduction technique had reached level 3 before, which can be proved by the hospitalized chief Jin Hongzhou, so now that he has increased the point to level 4, Fang Ziye does not feel afraid.

It's not that no one can prove it.

So, Fang Ziye was not afraid to look and scrutinize, and when he walked out of the door, he brought another patient in!

Xue Tao also tore up a standard method of resetting the signed consent form with relative appreciation, and the way of resetting was directly handwritten, what risks were in it, then it was purely formatted, and there was no time to modify it.

"That's all the risk, you should have heard it before, if the reduction goes up, put a plaster cast back, and if it doesn't go up, it will be surgically reduced." Xue Tao was even more brief this time, thinking.

If I'm talking like this, you can't still finish the manual reset just after I finish the conversation and sign it, right?

Fang Ziye did not, because the dislocation of this patient is very complicated, although it is a posterior dislocation of the elbow joint, it is a nearly irreversible joint dislocation.

Fang Ziye thought that with his current ability, there would be no problem in winning it, but in terms of diagnosis, he had to think it through.

"Doctor, am I?" After seeing that Fang Ziye had completed the physical examination, the patient did not move and did not speak again, and couldn't help but feel a little flustered in his heart.

After Xue Tao came back from talking, he also saw Fang Ziye groaning, and after a little entanglement in his heart, he stood next to Fang Ziye, his thick eyebrows were tightly locked, and his temperament was like a mountain, as if he was giving Fang Ziye a tone.

"Director Xue, his elbow joint is still a bit tricky. What I mean is to do an MRI first to determine if there is an ulnar-radial collateral ligament injury, and then decide whether to go straight for manual reduction. ”

"I'm worried that such a posterior dislocation of the elbow joint will be accompanied by ligament damage, and if there is really a ligament injury, it is difficult to say whether it is caused by manual reduction or the original injury." Fang Ziye explained to Xue Tao.

When Xue Tao heard this, he panicked in his heart.

Brother, don't you say it's too professional, okay, posterior dislocation?

Generally either posterior, or lateral dislocation, posterior lateral?

Xue Tao naturally couldn't have no skill at all, and carefully knocked on the direction of the dislocation, which was indeed deviating from the typical posterior dislocation trend of the elbow joint, slightly to the outside.

The patient was a young man of about thirty years old, with a slightly delicate face, but he looked embarrassed and said, "I still need to check this?" I don't think they can be checked. ”

"Why don't you reset it first?"

He couldn't be sure if Fang Ziye was deliberately targeting him.

Xue Tao thought about it carefully for a while, and explained: "Brother, that's the case, anyway, I'm not in a hurry, you see that we are all young people, so let's just say it." ”

"The degree of your dislocation is still quite large, so it may lead to soft tissue damage, if we want to reduce you, you have to look at the indications, now on X-ray, it is not good to assess whether there is soft tissue injury."

"Do you want to go down and take an MRI again, and come up directly after the photo?"

I was secretly frightened in my heart.

Before, he didn't know where Fang Ziye's excellence and greatness were, but now he vaguely guessed that Fang Ziye's understanding of film reading and his grasp of diagnosis were too in-depth.

Fang Ziye is not a high-end technique, but his understanding is more comprehensive and in-depth than theirs, and his X-ray reading skills are deeper than theirs.

Therefore, they were able to perform manual reduction of irreducible hip dislocations in the form of unconventional manual reduction that they did not understand before.

In other words, Fang Ziye saw the problem where he and others didn't understand, and through the simple principle of contact compression, the irreducible joint dislocation was first transformed into an ordinary anterior hip dislocation, and then it was reduced.

It's just that although he understands it, Xue Tao still feels a little shocked.

When he went to study a few years ago, in front of Yuan Weihong, Xue Tao felt that he had lived in vain, and Yuan Weihong was thirty-one years old at that time, close to thirty-two.

But now I feel this way in front of Fang Ziye, but Fang Ziye is only more than twenty-seven years old, what kind of life is this TM?

If the young people in Zhongnan Hospital are such a group, then when will the outstanding talents in the prefecture-level city hospitals like them come out, and will they never be able to come out?

This is the entanglement in Xue Tao's heart.

When Xue Tao opened his mouth, the weight was completely different, and the young man was not entangled, but just asked: "After I finish taking the MRI, can I come over without queuing?" Outside? ”

"Okay, I'll talk about it." Xue Tao saw that he was willing to cooperate, and hurriedly said.

"Patients queuing outside, pay attention, like him, if the diagnosis can't be clarified halfway, and then go to make up for the examination, he won't line up later, and come in directly, he has already lined up."

"I remember people, there will be no queue cuts." Xue Tao finished speaking.

Then he said to the young man: "You go to the nurse's station to find a doctor to prescribe a doctor's order, explaining that it is good to have an MRI, and when you are done, you can come up directly without waiting for the results." ”

"You also know that the situation is special, and all the time wasted is everyone's time."

"Our doctor is not sick or painful, it's okay to wait a little longer, but you're both not feeling well, so let's not dwell on it, okay?" Xue Tao's words are relatively pertinent.

The youth quickly departed.

Xue Tao pressed the informed consent form back, glanced at Fang Ziye a few times, saw Fang Ziye, and introduced another patient in.

This is also a dislocated joint, but he has no family members, and the dislocated joint is still the right shoulder joint.

No way, car accident injury, many people will grab things when the car accident is about to happen, to avoid serious injuries, habitual shoulder joint dislocation caused by violent stretching, is very common.

It's a bit like the type of damage, which is made by assembly line operations.

However, after Fang Ziye brought people in, he didn't start again, but asked: "Teacher Xue, if I don't talk and sign, you can reset the two, right?" ”

Being in another hospital, it's best not to be too arrogant, Xue Tao symbolically gave one or two chances to reset, it's enough, greed will definitely lose.

Circling around, you do one, I do one, everyone has a sense of existence, let Xue Tao show his operation level.

This is at least a rational choice when we get along for the first time.

Don't say that it is the first contact with strangers, even when you get along with the teacher, before you have feelings, you don't want to show your presence too much, so that your teacher is completely frustrated.

Excellence without emotion will make the teacher feel frustrated, not relieved.

This is Fang Ziye's ability to deal with things summed up by himself, which may not be right, but according to his experience, there will be no big mistakes.

Xue Tao nodded, feeling that Fang Ziye was a little interesting.

He likes to be around smart people.

Fang Ziye's conversation signature is not particularly complicated, but it will be a little more detailed, and will say a few special risk points according to the different types of dislocation of each person.

For example, when the third patient needs to cooperate.

"You have a hip dislocation, the rebound during the reduction of the hip dislocation will be stronger, as the saying goes, the arm can't twist the thigh, how much muscle strength is in the leg, especially if you are muscular. You should know better than I do. ”

"So in the process of reduction, there is a certain chance of fracture with such a bullet. Right? ”

"So, it's not entirely good to have too much fitness, too much muscles." Fang Ziye's half-praise and half-explanation of special cases can be said to take care of the patient's emotions very comfortably.

What fitness enthusiast doesn't like to be told that his muscles are strong?

This kind of conversation mode and method was learned by Fang Ziye from a classmate in the Department of Urology. His classmate, met an emergency patient who knocked the medicine, and then wiped the corner of the bed, and broke the skin, which was used when he signed the conversation, which was an interesting case shared by the classmate to Fang Ziye when he was rotating in the orthopedic department.

Fang Ziye naturally didn't collect materials as a topic for future conversations, but ah, he did learn a subtle communication style.

"You've been grinding bald skin for a long time, this is your unique characteristic, there is no way to do this, you have such a risk!"

Eh, as soon as he said that, that buddy almost looked up and let that classmate take a good look, and was stitched by him majestically, without any temper......

Men will fight for this breath until they die.

You have to say that he can't do it, he may be unhappy, you have to say that he can do it, especially for the same sex, he has to hold up for thirty seconds even if it is three seconds.

The patient happily lay on the operating table and asked, "Director Xue, am I at high risk of fracture, or is it unique?" Others don't? ”

"Almost." Xue Tao secretly froze in his heart and nodded heavily.

"That's fine, there's no way, when the muscles are trained, there's no way to soften, I admit it."

"Come, I'll sign." The patient lay down with a large pen and wrote his name.

Immediately afterwards, Fang Ziye and Xue Tao began manual reduction, because it was a manual reduction of hip dislocation, so an assistant was needed.

The elder brother also said, do you want me to do my own strength, my leg may be a little bit of a bad traction.

However, before he finished speaking, he saw Zhang Jinchuan, who was really powerful and powerful, and was called in by Xue Tao.

At first glance, the patient himself sniffed a little embarrassed, his head was lowered, his chin almost hit his chest, and he glanced at Zhang Jinchuan's body from time to time, his eyes kept rolling.

After Zhang Jinchuan came in, with the joint efforts of the three people, he completed a manual reset in two or three minutes.

Although the patient felt the pain, he didn't even hum.

In line with the principle that although I am not as big as you, I am still a tough guy, and I highlight a person who can endure.

After everything was done, when the patient got up, he also pinched Zhang Jinchuan's arm.

"Brother, how are you practicing this?"

"Sledgehammer, thigh lift, like this technique to reset." Zhang Jinchuan is not hiding his secrets at all.

"Farewell! ~" The patient gave up his hand and limped away.

Damn, I was really educated.

It's really hard work, it's not the muscles that are trained with equipment in the gym.

And here, the number of patients queuing outside for dislocation is gradually decreasing.

……

After more than half an hour, the manual reduction of patients queuing at the door was cleared up by several people.

After sending the last patient out of the operating room, Xue Tao patted his hands and said, "Let's go eat first, according to this frequency of consultation, I think there may be another wave at night." ”

"But after eating, Doctor Fang, you can go and rest first."

"I'm really sorry to let you go to work early." Xue Tao's tone was formal, and he no longer regarded Fang Ziye as a gold-plater.

Fang Ziye's strength, if he still needs to be gilded, then he is not worthy of the three words of gold-plated. Fang Ziye is a person who really came to practice, and restored the essence of the plan of coming to the following for counterpart exchange and learning.

"Brother Tao, you were polite, and you didn't help much, and the teacher also told me not to make trouble."

"It's good that you don't make a mess." After getting acquainted with Xue Tao, Fang Ziye found that Xue Tao, who looks like he has thick eyebrows, big nose and big eyes, is actually cold on the outside and hot on the inside.

For acquaintances, for people with skills, there is no shelf.

But if someone wants to pretend to be forced and put on a show, then he won't bird you.

"You see, that's the last word for modesty, and it's called hypocrisy."

Xue Tao scolded with a smile: "The most annoying thing is such a hypocritical person." ”

"But Dr. Fang's hypocrisy doesn't seem to be so hypocritical." Xue Tao admitted Fang Ziye's strength, and was even a little stunned, so he added one more sentence.

A few people laughed and walked in the direction of the doctor's office.

Although there were a few more patients outside, after seeing the white coat, they asked how to deal with it now.

Xue Tao said: "I'm really sorry, can you let us have a meal for ten minutes, you do it first, we really don't have the strength?" ”

"Just ten minutes." Xue Tao's tone was very good, holding it with both hands, so that the other party could not refuse.

(End of chapter)