Great doctor starts with adding points

Wu Xie had only heard what Guo Lixiang said, but he didn't know the specific facts. Moreover, after Wu Xie came to the department, he seldom chatted with others, and spent most of his time reading books.

So the melons you eat are not as deep as Guoli Lane.

"Xiao Guo, this matter is related to the director, so let the director handle it, let's not talk about it." Wu Xie obviously didn't want to eat this melon.

Guo Lixiang also nodded, and shut up first. After the two of them arrived at the doctor's office in the department again, they each found a stool and sat down. , isn't it particularly difficult?"

"Look at Director Lu before, and Doctor Chang now, over and over again..." Guo Lixiang hesitated to speak at this point.

On the small old face, there was a look of longing and hesitation.

As far as the sense of accomplishment in medicine is concerned, it is more rewarding and fulfilling to treat diseases with hands than to treat diseases with medicines.

Let's look at the young man downstairs just now, who was still in pain, and then Guo Lixiang saw that under Wu Xie's manipulation, the pain was immediately relieved, and it was extremely soothing.

Not only the patient felt miraculous, but even Guo Lixiang felt envious. This kind of technology really gives a sense of accomplishment.

It is no wonder that Xiong Yao was very respected before.

Just when Wu Xie was about to answer, there was a knock on the door outside the doctor's office, and it was the young man who had reviewed the film and went upstairs again to ask about the reset situation.

Wu Xie interrupted what he was saying, and quickly started to check his post-reset flat film.

"The reduction was successful. You see, the humeral head is now in the joint socket and is in a good position."

"And the most important thing is, your pain has been greatly relieved now, right?"

The young man nodded, rubbed his left arm with his right hand, and smiled slightly with his eyes closed: "Compared to the severe pain before, it can be said to be very comfortable."

There is no somatosensory feeling in the absence of pain, but the relief and pain-free feeling after the pain can be described as enjoyment.

"Pain relief, joint positioning, and recovery of active and passive range of motion can basically be judged. The successful reduction of joint dislocation is just whether there is soft tissue injury, such as rotator cuff injury. You have to experience it slowly in your daily activities in the future."

"It's fine if you don't have it. If you have it, you can deal with it. It doesn't make any difference. The main thing is that you have an anterior dislocation of the shoulder joint, which is relatively simple. From a medical point of view, the chance of concurrent soft tissue damage is relatively small..." Wu Xie said very seriously and formal.

About five minutes later, Wu Xie and Guo Lixiang stood up to send them away, and confessed: "If you need the plain film and report before and after the reset, you can come and pick it up at any time tomorrow. It's too late today. You are too lazy to wait, go back and rest first."

"Okay, thank you, Dr. Wu!" When they went downstairs, the two waved to Wu Xie to thank him.

Guo Lixiang laughed with Wu Xie, and then squeezed a brighter smile to look at Wu Xie: "Brother Crab, you are really amazing."

Wu Xie turned around and continued walking towards the office, saying, "Actually, this person's shoulder dislocation is very simple. That doctor Chang can definitely reset it. His is the simplest joint dislocation."

"It is less difficult to reset than my cousin's anterior shoulder dislocation."

"But this time, Dr. Chang was more unlucky. He happened to be arrested by Director Xue and the others. He started diagnosis and treatment activities before the clinic was registered. Didn't he do it himself?"

Guo Lixiang was slightly puzzled when he heard the words: "Brother Xie, didn't you say that this patient's dislocation is moderate? Your cousin had a mild dislocation before."

"yes!"

"There are differences in the relative severity of the dislocation, but you also need to look at the tonnage of the two people. The tonnage is different, and the difficulty of repositioning is also quite different, and the force required for repositioning is different."

"The greater the strength, the harder it is to control the strength, right."

"To do manual reduction of joint dislocation, the first step is to have a thorough insight into the diagnosis and clarify the nature of the diagnosis, whether there is dislocation, whether there is accompanying fracture, and whether dislocation or fracture occurs first."

"Which direction is the dislocation?"

"These are all different."

"After the diagnosis is clear, it is necessary to distinguish the severity, whether it is suitable for manipulative reduction, and whether it is a contraindication for manipulative reduction. If it is suitable, you must also evaluate whether your strength is enough and whether the force is accurate enough."

"If you can understand all these, the method of reset is actually very simple. You have seen the method of hand-pulling and pedaling, and external rotation. It is very simple..."

"Then you have to learn to judge how to interpret whether the reset is successful."

"That's what I just did. The pain relief, the disappearance of joint deformities, and the X-ray showing that the joints are in place and aligned. These all require theory as a basic skill. It's not that difficult, but it's not easy..."

As Guo Lixiang listened, the smile on his face gradually disappeared.

He thought Wu Xie had some tricks.

After all, Wu Xie is so young and has only just come into contact with this joint dislocation, so he can do it so well.

But I didn't expect that there is no shortcut at all. It's all about reading more books to make the basic principles and diagnosis very clear before you dare to make a move.

The most important thing is when it can be reset and when it must not be reset.

Guo Lixiang was about to speak again when Lu Junyin came into the office whistling, with a cheerful expression on his face, which seemed to be in a good mood.

"Xiao Wu, haven't you gone back yet? I thought you were gone." Lu Junyin's tone was light and casual.

Didn't you ask me to go upstairs and wait for you?

Wu Xie looked around but didn't see He Ling: "Director Lu, has Brother He Ling gone back yet? Then I can go back too."

Lu Junyin explained after hearing the words: "He Ling and Dean Chen went to see off Director Lin Peiyuan and Director Gui Zhongshuo. Director Xue and others will rush back to the county overnight, and they will not eat supper."

"If you don't leave, just come to the office with me. I have something to tell you." When Lu Junyin was speaking, he gave Guo Lixiang a wink.

Guo Lixiang is quite small, so he has a small heart and a delicate mind, "Director, I'm going to the lounge first, it's getting late, Director, you and Dr. Wu should go back to rest earlier, I will call you to report if there is anything to do."

While talking, he walked out, knowing that Lu Junyin must have something to say to Wu Xie.

Wu Xie took the initiative to pull a chair for Lu Junyin, and after Lu Junyin went out, he said, "Director Lu, Director Lin and I didn't say anything."

Lu Junyin nodded, with a serious expression on his face: "I know, Director Lin also told me and Dean Chen later!"

"And I also discussed it with Dean Chen. We all agreed that you are a very worthy seedling, so I discussed it with He Ling again."

"In the future, our department will arrange this way. You, me, and He Ling will each be in charge of five beds, and take over and treat patients independently."

"You, it's okay to manage five beds, right?"

"It will be very tiring, but it will also strengthen your basic skills. If you encounter a problem that cannot be solved, He Ling and I can still cover it for you!" Lu Junyin said.

Wu Xie was a little overwhelmed by Lu Junyin's oversized sweet date——

He is in charge of five beds, whether he is crazy or Lu Junyin is crazy.

A little confused, Wu Xie subconsciously said, "Director Lu, isn't this appropriate?"