Chapter 1328 Unsteady Shoulders

"Doctor Ling, this is the patient Liu Lisheng. He is 17 years old. His shoulder has been dislocated many times. He has never undergone any surgery, and all of them are manual resets. This time, he injured his left shoulder while skiing and was sent to the hospital..." Zuo Cidian entered the ward, Only then did he introduce the specific situation of the patient to Ling Ran.

Although this patient involved Director Hu's attitude, it is common for surgeons to forget what they said before entering the ward.

Ling Ran naturally walked to the opposite side of the patient, motioned for Zuo Cidian to call out the video, and at the same time said to the patient: "Let me do an examination for you."

Zuo Cidian secretly took a deep breath before obeying Ling Ran's order.

In this way, Ling Ran completely abandoned orthopedics.

Although Director Hu is not the director of the Department of Orthopedics, generally speaking, when Director Hu said this, he either obtained the consent of the department director, or he also tacitly agreed.

In fact, think about it, there are so many orthopedic surgeries performed in the emergency department, sooner or later the orthopedic department will be unhappy and respond.

If Huo Congjun came forward, the orthopedic department would probably be able to bear it for the sake of his face and tongue, but it is not surprising that there is no need to bear it anymore.

There are too many things involved in the source of the disease, not to mention conflicts between two departments, or conflicts within the same department, which often become irreconcilable.

When Zuo Cidian thought of this, he simply forgot about it.

From his inner considerations, Ling Ran could not offend Director Hu, but from another direction, this Director Hu was also a little careless. When Director Huo organized the source of the disease and developed the types of diseases and surgical methods, why did he not say a word? Didn't he dare to confront the powerful director of Yunyi? Then he dared to fight against Ling Ran, maybe he was holding the other party's young mentality.

That being the case, Zuo Cidian felt that as long as Ling Ran had confidence, he would do the right thing.

Thinking about it again, Ling Ran even had a heart surgery, and a mere shoulder joint surgery, so what can he do.

"pain……"

The 17-year-old young patient originally wanted to stretch, but Ling Ran pulled him twice, and then cried out in pain.

Seeing that the patient's parents were already frowning, Zuo Cidian walked over quickly and said, "This is a drawer experiment to check the patient's shoulder instability. It is mainly to clarify the degree of shoulder joint laxity. Specifically, it is conservative treatment. Whether or not surgery is required is determined only by examination.”

The patient's mother reluctantly nodded,

He added: "It can also be lighter."

"Push the humeral head forward or backward. If the humeral head moves forward by more than 25%, it is considered positive. If the push is not in place, the examination will be meaningless." Zuo Cidian still explained with his heart, and at the same time expressed himself .

It seems that this kind of knowledge was made up by him later and by himself.

The family members of the patient were a little worried: "Is it positive now?"

"Positive, it means the joints are loose." Zuo Cidian whispered.

"This...can be confirmed in this way? It's too simple." The patient's mother was not very happy.

"This just means that the joints are loose. We are mainly concerned with the indicators of shoulder instability." Zuo Cidian took the tactic of delaying the attack and said, "Surgical judgment is not so simple."

As expected, the patient's mother was attracted and asked, "Is that possible for conservative treatment?"

"No." At this time, Ling Ran bent the patient's upper arm 90 degrees forward, 90 degrees internally, and slightly adducted, and then exerted a backward force to perform a jerk test, and easily came to a conclusion.

The patient's father also said in a deep voice at this time: "This child has also been dislocated before, and it was all reset and conservative treatment..."

"The condition of his shoulder joint is no longer suitable for conservative treatment." Zuo Cidian didn't think so much, and said flatly: "From all aspects of the situation, surgical treatment is the best solution at present. "

"Just by moving your arm, you can prove that he is going to have an operation?" The patient's mother was not convinced. The difference between surgery and conservative treatment is too big.

Furthermore, Ling Ran looked a little young indeed, even if she was handsome, she couldn't care less about it right now, instead she looked at Zuo Cidian and said, "Doctor, please show me again, if you can treat conservatively, try your best." Maybe it’s better to be treated conservatively.”

Most doctors will actually have a tendency to consider this attitude of patients. Zuo Cidian couldn't help but look at Ling Ran with some trepidation.

Ling Ran's attitude did not change at all.

If the opinions of outsiders can easily influence him, then he should not even think about doing his own thing. Even in kindergarten, I am afraid that the girls will play house every day.

For Ling Ran, ignoring other people's words and focusing on scientific judgment is the only way.

In the face of family members' opinions, Ling Ran said without hesitation: "I made a judgment on conservative treatment based on three points. First, through inspection, the patient has square shoulder deformity, which is not very obvious, but it suggests risks. .Secondly, the examination of joint laxity and shoulder instability was positive for the patient. Thirdly, in the image, only X-rays showed signs of "interstitial syndrome" and Moloney discontinuity, which were verified by CT. Based on the above points, The patient must undergo surgery."

Not only the family members of the patients, but all the doctors on the scene were dumbfounded.

Zuo Cidian even recorded it silently, thinking in his heart, he has to remind the little doctors in the future that they all have to report like this.

"That is to say, is it serious?" The patient's mother still asked unwillingly.

A group of doctors in the emergency department rolled their eyelids as usual. Although Ling Ran's answer was extremely clear, with a clear diagnosis, the patient's family members asked repeatedly, which is actually the most familiar daily routine for emergency doctors.

For patients with craniocerebral injury, patients with myocardial infarction, and patients with profuse bleeding, their family members often ask the doctor: Is it serious?

Naturally, Ling Ran often encountered similar situations.

However, he never expected patients or their families to understand those seemingly mundane words.

Just like when doctors use the word CA instead of cancer, many patients and their families will be blindsided.

As for shoulder instability, which is a little out of the ordinary field, Ling Ran said directly: "It's very serious. Immediate surgery is necessary."

"Okay... okay." The patient's mother finally understood a little bit, and then she became flustered. She couldn't help grabbing her husband's arm and asked, "What should I do?"

"You call the school to ask for leave, and tell some tutors. Don't notify your parents first." The patient's father said a few words quickly, and then looked at Ling Ran and Zuo Cidian: "What are we going to prepare? ?”

"We will arrange hospitalization and surgery for you. A nurse will come to teach you soon. You will prepare tens of thousands of dollars here, pay the fee and pay the deposit..." Zuo Cidian said, then looked at Ling Ran, and asked in a low voice: "Latarjet surgery style?"

"Yes." Ling Ran nodded, and said directly, "Let's go into the operating room."

Zuo Cidian responded, breathed a sigh of relief, and suppressed the previous tension into the bottom of his heart.

The Latarjet surgery is Ling Ran's strike zone. If the next few shoulder joint surgeries are all in Ling Ran's strike zone, Director Hu of the Department of Orthopedics will be unable to attack for the time being.

Well, with a little delay, maybe things will turn around.

Zuo Cidian silently considered what was there and what was missing, and in a blink of an eye, Ling Ran was gone.

"Why can't I relax." Zuo Cidian scratched his head, panicked for a while. Other doctors have thinning hair to this extent, at least they can change to a doctor's degree!

txt download address:

phone-reading: