Great doctor starts with adding points

After reading the films in the doctor's office, Luo Wei turned around and began buttoning his white coat, speaking calmly, "Uncle, sit down too."

"Why do you think that after the reset is over, you still come to the county? I think the reset is done very well. Now the humeral head is in place, the pain is relieved, and the range of motion is restored."

"Dr. Wu called you here?" Luo Wei was just curious.

Speaking of the former Qin Dahe, who wanted to transfer from Sha Town to the county hospital, he had a request for surgery, and the town hospital was not easy to do it and dared not do it. After all, the prefectural people's hospital was unwilling to do it.

But the purpose of Xiang Lunwu's visit seems to be a bit of a concern.

He was also afraid of causing trouble to his colleagues in the town hospital, so he preemptively struck.

Naturally, Luo Wei didn't know about the relationship between Xiang Lunwu and Wu Xie. When he asked this question, Xiang Lunwu seemed quite embarrassed, his eyes rolled rapidly, looking for an answer.

Xiang Zhongshu directly smiled and said, "Dr. Luo, it wasn't Dr. Wu who shouted, but we were worried. The main reason is that some time ago, there was a shoulder dislocation in our town, and some rotator cuff surgery was done afterwards."

"We were afraid that it would be a similar situation, so we thought about going up to do a more comprehensive inspection and investigation, and doing it as soon as possible. To avoid delays."

When Luo Wei was talking to Zhong Shu, he kept staring at him. He didn't realize that Xiang Zhong Shu had asked if he had misdiagnosed and mistreated him, so he was relieved: "Rotator cuff injury is indeed one of the complications of shoulder joint dislocation."

"But not all shoulder dislocations require this examination. It is quite expensive to do an MRI. If you have no symptoms, you will not be targeted for the examination."

"If you have symptoms after recovery, it will be the same to check again. Even if the rotator cuff is broken, the second-stage surgery will not affect the curative effect."

"There's no need to spend all the money at once, and it's a waste of money."

After Luo Wei finished speaking, he quickly explained: "I'm not trying to persuade you not to do it. In fact, if you want to do it, for me it's just a matter of opening an inspection. If you do it, you will pay for it yourself."

"Oh, this is a car accident for you, so you can do it now to avoid subsequent troubles."

Luo Wei quickly explained again, for fear that Xiang Zhongshu and Xiang Lunwu might misunderstand that he was with the driver who caused the accident and would cause embarrassment.

Xiang Zhongshu and Xiang Lunwu were said to be just laughing together.

"..."

There is no need to make an appointment to queue up for the MRI at the county hospital. After Luo Wei gave Xiang Lunwu the examination, it was finished in just half an hour.

When he returned to the orthopedics department again, Luo Wei read the films ahead of time and said: "After you finished the MRI, I saw the films here, and I also showed it to our director. There is nothing serious, the rotator cuff is only edematous. damage."

"There is no need for follow-up processing. You can go back and observe first. Our director personally watched it." Luo Wei sighed slightly when he said this.

It seemed that it was not worth the trip for Xiang Zhongshu and Xiang Lunwu.

When Xiang Zhongshu and Xiang Lunwu went downstairs to do the MRI, he used his mobile phone to check the tests written by Wu Xie, and suddenly felt a somewhat terrifying feeling.

too professional--

After checking, I realized that this is a set of tests for diagnosing anterior shoulder dislocation.

What is a set of checkups? It means one after another, constantly consolidating the diagnostic and physical examination mode!

Shoulder joint Apprehension test (fear test): Let the patient lie on his back, extend the arm to the side, and bend the elbow joint at 90 degrees. The doctor puts the palm of the patient's shoulder on the patient's shoulder, and then uses the other hand to pull the patient's arm forward and rotate while observing the patient Are there feelings of fear and shoulder discomfort.

If there are signs of anterior shoulder dislocation, the diagnosis can be inclined to anterior shoulder dislocation.

Relocation test: For patients with positive Apprehension test, further Relocation test is required to confirm the diagnosis. Based on the Apprehension test, the doctor gently pulls the patient's arm back and observes the patient for shoulder pain and fear. If symptoms resolve, the diagnosis of anterior shoulder dislocation is confirmed.

Release test: For patients with a positive Relocation test, a Release test is required. On the basis of the Relocation test, the doctor removes the hand that pulls the arm backward, and observes whether the patient reappears the symptoms of shoulder discomfort and anterior dislocation. Should shoulder symptoms recur, an anterior shoulder dislocation can be diagnosed...

These, are from Rowecha.

And these were written by Wu Xie. When Wu Xie wrote it like this, it must be impossible to check Baidu or other information in person to write it?

What's more, depending on the type of shoulder dislocation, there are many inspections, and the above is basically only for anterior dislocation——

As for the rest of the inspections, Wu Xie didn't add any of them.

After learning about this, Luo Wei quickly stared at Xiang Lunwu's NMR results, and then sent them to the director for review as soon as Xiang Lunwu's NMR level appeared in the film reading system.

Without him, the communication between peers must be professional and cautious!

Otherwise, when Xiang Lunwu goes back, and maybe replies to Wu Xie, if there are still things I don't understand on my mother's side, then it will be embarrassing.

Rotator cuff injuries and MRI readings of shoulder joints are part of orthopedics, but they are quite specialized subspecialties of sports medicine in orthopedics. At present, the whole department of orthopedics, that is, the director of orthopedics and the director of spine surgery, can do some.

Ordinary junior doctors just look at the edema and finish the job.

Luo Wei didn't mention that the doctor was Wu Xie's business, because he was afraid that the director would be difficult to do, but he also said that the other party was very professional, so he hid Wu Xie's name on the medical record page and showed it to the director.

The director also responded immediately...

"Thank you, Doctor Luo."

"It's all right!"

"I'm just curious, Doctor Wu in your town hospital, he should be quite famous among you..." Luo Wei began to gossip.

Xiang Zhong Shu hurriedly nodded, although he didn't trust his nephew very much, but he didn't like to slander him: "Fortunately, I heard that he is quite professional..."

Xiang Zhongshu and Xiang Lunwu felt relieved, and when they walked out of the hospital again, it was already six or seven o'clock in the afternoon.

At this point, the bus back to the town is gone.

Fortunately, Xiang Zhongshu's third brother bought a house in the county, so he wouldn't have to live in a hotel.

The distance from the hospital is not counted as a hospital, and the two planned to walk there.

On the way, Xiang Lunwu looked at his father suspiciously: "Dad, didn't you say that Xiao Xie had a personality that was forgotten before?"

"I usually work as a traffic policeman, and I observe people's expressions carefully. When I saw the doctor in the emergency department and Dr. Luo in the orthopedics department, their faces changed when they saw the medical records."

"I don't know if I recognized Xiaoxie's name or something else, but I think there are more other aspects."

At this moment, Xiang Zhongshu took out the lighter and Yunyan, and lit one.

He couldn't get used to the Yellow Crane Tower, and under the smog, he decided to Zhong Shu: "Tomorrow, I will buy something and go to your aunt's house."

"Yes." Xiang Lunwu also nodded in agreement with a solemn expression.

He felt that it was time for him to get to know his old cousin again. If you had trusted him earlier, you wouldn't have to bother so much.

Although I don't have to pay for the money myself, I have to bear the exhaustion.

After a while, Xiang Zhongshu's phone rang, and the caller ID showed Xiang Mei...

Seeing this, Xiang Lunwu slightly turned half his body.

ps: Thank you book friend 20210301106460054746 for the reward, becoming the first disciple of this book! It cost money.

Let’s count the tickets, no-cost recommendation tickets and monthly tickets are fine, tipping is also fine, and Xiao Jiang can accept it with the cheek...