Great doctor starts with adding points

Lin Peiyuan's words are a bit nonsense, who would put a big plaster cast on his elbow as an elbow protector?

But Xiang Gong saw Lin Peiyuan's mediterranean appearance, thin and thin, his eyes sunken due to fatigue, and he knew that he was of a good level, so he hurriedly said, "Director Lin, I feel fine, but I'm afraid of other injuries."

"The doctor in our town said that my dislocation is very likely to be complicated by ligament damage and joint capsule damage. I'm afraid that there will be sequelae in the future!"

"So this is not for you experts to give you another look." Xiang Gong saw Lin Peiyuan's badge, knew his name, and was extremely polite.

Lin Peiyuan was overjoyed instantly when he heard the words, and stepped down when he saw Po: "Then take one, don't worry. After all, it was reset by two people."

"Come on, do it yourself!" Lin Peiyuan hurriedly used his knowledge to smooth things over.

No diagnosis can be seen, but the effect of reduction can also be evaluated, which is generally recovery of activity, pain relief, and no obvious deformity.

It is impossible for Lin Peiyuan to say what kind of diagnosis you had before.

Liu Guifang slapped Xiang Gong again immediately after hearing the words: "He's the only one who would believe anyone. The medical center was not open, and acquaintances said it was an experienced old doctor, so he went."

"Let's go to our town hospital. What about Dr. Wu? How old is he? He knows..."

As soon as Liu Guifang's words became more and more outrageous, Lin Peiyuan hurriedly interjected: "Don't underestimate this Dr. Wu, he is already a bit of an underestimate in coming to our county hospital."

"He was a good seed who was internally selected by Tongji Hospital before. You are lucky to meet him."

Liu Guifang's words stopped abruptly, she was stunned, she watched Lin Peiyuan do a simple review for her husband in a low voice, and smiled apologetically: "That's the age I only look at the surface."

Wu Xie is well-known in the town. He has been obedient and sensible since he was a child, and has good academic performance. He directly entered one of Huazhong University of Science and Technology's trump card majors, clinical medicine, and then he was admitted to graduate school.

However, the town is not big, Wu Xie didn't stay in the big hospital, but came to the town hospital for gossip, she couldn't help but doubt the truth of the rumors that Wu Xie was ignorant.

After all, whenever Wu Xie is capable, he went to the town hospital to make trouble, and his husband knew that it was an ironclad fact that Wu Xie went to Enzhou People's Hospital.

Who could have imagined that, and then dropped several levels to the town, it really doesn't make sense.

Xiang Gong was big-hearted, and asked with a smile, "I heard that Dr. Wu also stayed in the county hospital for a while."

Lin Peiyuan's expression froze when he heard the words, and his hand shook slightly, causing him a little pain.

This time, Xiang Gong himself was honest first, then he looked at his wife's scrutinizing gaze, and then obediently closed his mouth again.

"Almost, it should be reset, let's do another MRI, Dr. Lou, you can order an examination, there is no need to remove the plaster." Lin Peiyuan confessed.

Last time in Loushanguan, the MRI examination was regarded as CT, and the patient's plaster was removed. Fortunately, nothing happened, but he took off his pants and farted.

Gypsum does not affect the examination of MRI, which is considered a basic skill.

After Lou Shanguan was scolded last time, he naturally remembered it in his heart. At this moment, there are people gathered in the office, so he can only temporarily go to the nurse's station for an examination...

Lin Peiyuan collected the medical records first, then took a picture and sent it to someone, asking him to help him find some information...

I can't help it, I won't be able to understand what Wu Xie wrote in the future, the work is so difficult.

Lin Peiyuan is a little annoyed now, he made the decision to push Wu Xie out, but Wu Xie at that time?

Is he lacking in heart, or has he made up a lot of things in just a few months?

He couldn't quite figure it out either.

The county hospital is not the place for you to learn the basics, but the school. You don’t understand a lot of things, and you can’t do them. That’s just occupying the latrine. The hospital recruits skilled doctors, not for you. A place to study and reserve.

...

It’s just that when Lin Peiyuan first entered the office, Dr. Long, who he noted, replied: “Director Lin, the medical record you sent is relatively simple. physical examination and other support."

"However, I asked the professor in our hospital. In this case, we should consider the habitual dislocation of the shoulder joint caused by epilepsy, and under such habitual dislocation, there is structural laxity or damage to the rotator cuff or shoulder joint capsule."

"Then unfortunately, during the reset process this time, I encountered a seizure! It was not induced."

"Because if epilepsy is induced, there are rules to follow. The previous reset process was fine, so it shouldn't be such a coincidence."

"Of course, if you encounter a more extreme situation and this attack is the first time, then the situation will be complicated. There is too little supporting evidence so far, so we can only guess like this."

After reading it, Lin Peiyuan wrote back quickly: "Thank you, Dr. Long, for disturbing you so late. Didn't it disturb your rest?"

"If there is a chance, when you go to the countryside to support your counterparts, I will definitely toast you a few more glasses!"

"Thank you, Director Lin, but the matter of my counterpart support has not yet been settled. I guess it will be during the Chinese New Year." Doctor Long said so.

"Director Lin, I still have something to do, so I'm going to get busy first." Doctor Long said so.

After Lin Peiyuan saw this information, he hesitated for half a minute before typing and explaining: "Doctor Long, what happened to Dr. Wu before was indeed a comprehensive decision made by our department and our hospital, not other factors, so, I hope you and Professor Duan will not misunderstand..."

Dr. Long didn't reply, and he didn't know if something really happened.

However, after getting a reply from Dr. Long, and the director of the Department of Orthopedics also asked the director of the Trauma Surgery Department of Enzhou People's Hospital, Lin Peiyuan felt confident.

Finally, when it was his turn, he explained: "President Cao, as well as the directors of the medical department and other brothers, thank you for your opinions and suggestions, but it is based on our orthopedic specialist evaluation."

"We believe that Zhu Fagen's epilepsy may not be accidental during the restoration process. The patient and his family members should have concealed the history of epilepsy when they went to the doctor..."

"This Zhu Fagen's diagnosis is epilepsy-induced habitual dislocation of the shoulder joint. Although this time the dislocation was caused by trauma, the reason is that the habitual dislocation leads to relaxation of the shoulder joint capsule and rotator cuff, which easily leads to dislocation..."

This discussion meeting lasted for more than half an hour.

In the end, the hospital agreed, and Zhu Fagen could be exempted from certain hospitalization and treatment expenses in the future.

Zhu Fagen did have a history of epilepsy, but even Zhu Fagen's wife didn't know about it, but Zhu's family knew it. The degree of concealment of the medical history caught everyone off guard.

The patient and family members concealed the past medical history in this way, and the gods could not speculate on this?

Moreover, after admission at that time, the diagnosis of anterior shoulder dislocation was clear, the indications for manual reduction were obvious, and there was no additional injury. Therefore, the treatment choice was correct without knowing the history of epilepsy.

So Zhuo Qing didn't continue to investigate further, otherwise, what should I do, this is a dead end!

...

Zhu Fagen had already woken up in the ICU, and after he had forgotten everything before, he sent Zhuo Qing's family away.

However, although the patient's family members were dismissed, and the directors of other departments all left one after another, the orthopedic meeting was still not over.

After closing the door——

Li Xiaohe, the director of the Department of Orthopedics, began to pursue responsibility: "Lin Peiyuan, you are the director of the Trauma Department, tell me, can you accurately judge the degree of injury, surgery and manual reset before doing this dislocation? adaptation sign?"

"This is very problematic. Look at this Dr. Wu. He puts the simple anterior dislocation of the shoulder joint faster than a rabbit, but he handles the more complicated side repositioning of the elbow joint."

"Also, look at the medical records you wrote earlier for receiving joint dislocations, and this one. Compared with this one, think about it, are you an orthopedic doctor?"

Li Xiaohe is the big boss of the orthopedics department. He ran against Lin Peiyuan so much that Lin Peiyuan really couldn't even fart.

However, this was not over yet, Li Xiaohe changed his tune and said:

"Director Lin, Dr. Wu Xie was in our hospital two months ago."

"Why can't this be called? Can you tell me?"

Lin Peiyuan's expression became colorful in an instant. Under the Mediterranean Sea, his eyes were frozen, and he looked at Li Xiaohe...