Chapter 483 Never feel like you understand a new disease(1/2)
Chapter 483 Never feel that you understand a new disease...
Lu Cheng looked at the name written on the other person's clothes, which was Lan Lingzhi. He nodded and said, "Yes, Teacher Lan."
"Now that there is a shortage of people in the department, we come to the clinic."
"Teacher Lan, you may not have the corresponding equipment here. I have to go to the orthopedics department to get it and then come back."
The tool Lu Cheng brought over before was a skin traction tool, which he thought was enough, but this one didn't work, so he had to change the tool.
"Thank you for your hard work, Doctor Lu." Lan Lingzhi was originally from the Second Xiangya Hospital, so she had heard of Lu Cheng's name earlier. Now, as the attending physician of the Department of Respiratory Medicine, she has heard of Lu Cheng.
This name almost reminds me of Cocoon.
Whether he is a professor or attending a meeting, the name Lu Cheng is always mentioned in his ears.
Then when I inquired about it, I found out that he was an orthopedic doctor.
Some time ago, Lan Lingzhi felt that Lu Cheng was the kind of person who really liked to be in the limelight. Otherwise, as long as he was a normal orthopedic surgeon, he would not think about doing internal medicine.
However, now that I have been exposed to it, I feel that my previous thoughts were not quite right.
Lu Chengcheng said: "It's okay, Teacher Lan, these are what I should do."
"Teacher Lan, I think you should find a way to do a plain CT scan and 3D reconstruction for this patient." Lu Cheng said as he walked out.
Lan Lingzhi nodded first after hearing this: "Okay, we will arrange for a nurse to make arrangements immediately."
Nowadays, patients do not allow their family members to accompany them, and if it is inconvenient for them to undergo examinations alone, they can only hire nurses to transport the patients.
Lan Lingzhi habitually nodded in agreement with the professional opinion proposed by Lu Cheng, and then asked: "Dr. Lu, this patient has been diagnosed, do you still need a CT scan? He is not suitable for surgery either?"
In fact, Lan Lingzhi is not willing to go through such a trip. It is quite troublesome for patients, especially doctors of respiratory medicine, to go out at this time.
The path must be disinfected throughout the entire process, and the used CT room must be temporarily closed. Using ultraviolet disinfection will increase a lot of workload.
Lu Cheng said: "Oh, that's it. This patient is not very old now, only sixty-one or twelve years old. And from the plain radiographs, although he has a certain degree of osteoporosis, it can be judged by bone density.
.”
"He probably wouldn't have slipped and broken his bones so easily. Therefore, I want to do a CT scan to see if there is any bone damage at the broken end of the fracture."
"The current plain radiographs of the pelvis are taken after a fracture. There will be bleeding shadows near the fracture. The bleeding shadows will cover the shadow of bone damage."
"Of course, this is just my worry." Lu Cheng just expressed his speculation.
But it is well-founded and logical.
Lan Lingzhi smiled and replied: "Oh, okay. Dr. Lu."
"I heard your explanation very clearly and clearly."
…
After giving the patient bone traction, Lu Chengcai took off his protective clothing and the double-layered surgical gloves he was wearing, then brushed his hands twice before ordering people to send the instruments to the sterilization room for disinfection.
.
Most of the patients in the Department of Respiratory Medicine are UID patients, and they dare not take these things back to the Department of Orthopedics for reuse.
When leaving, Lan Lingzhi took the initiative and said: "Dr. Lu, if anything happens later, I will contact you directly through VX?"
"Okay, Teacher Lan." Lu Cheng nodded and walked towards the intensive care unit.
That is the ward where Fang Nixin is located.
It wasn't that Lu Cheng went to see her specially, but Chang Weilong had just called and said that there was a consultation there and he couldn't leave for the time being, so he hoped Lu Cheng could go and have a look.
Lu Cheng nodded and agreed, having a strange thought in his heart.
Chang Weilong didn't come to the respiratory department or the intensive care unit. Did he deliberately send me to a dangerous place?
But then, Lu Cheng shook his head again. Chang Weilong should not be such a person. Everything was just a coincidence. And it just so happened that he could also use these two opportunities to collect cases in the intensive ward into his scene skills.
Go inside.
…
After arriving in the intensive care unit, you still need to change into new protective clothing!
Although Lu Cheng felt that this was a bit wasteful, there was nothing he could do about it.
After entering the room and seeing the patients who were to be consulted, the doctor in charge of the bed just happened to come over, and it happened to be the one Fang Nixin was in charge of.
She was stunned, patted Lu Cheng on the shoulder, and said in a slightly inappropriate tone: "Lu Cheng, why are you here? Isn't Brother Long on duty today?"
"I just called him."
Fang Nixin used to work with Chang Weilong in the Fourth Department of Orthopedics, so she naturally knew that the person who answered the phone was Chang Weilong, not Lu Cheng pretending.
"Brother Long has gone for consultation elsewhere, so he sent me here to take a look. What's going on with your patient? Why did you ask Brother Long to come for consultation?" When Lu Cheng heard that the intensive care unit was asking for an orthopedic consultation, he immediately
He was stunned for a moment.
Thinking of this, Fang Nixin is from the Department of Orthopedics, and she is also the chief inpatient. She is familiar with the consultation process. Is there no one in the intensive care unit who knows about this?
Isn’t it okay to let Fang Nixin see for herself?
I also specifically called for an orthopedic consultation. Doesn’t this seem a bit painful?
He happened to meet Fang Nixin, so Lu Cheng simply asked him face to face without making too many guesses.
Fang Nixin blinked her eyes, but did not reply to Lu Cheng's words, but said: "It seems that the rumors are true. Professor Chang really doesn't plan to work in clinical practice, and will transfer his focus to functional departments in the future. So.
Now, if you can skip a day's work, it's a day's work. If you can avoid running to dangerous places, run to dangerous places."
Lu Cheng's expression flashed: "Ah? Is there still such a thing?"
Fang Nixin sighed: "After Professor Min Hong served as the chief director of the Department of Orthopedics, he promoted Associate Professor Zhu Lihong to become the director of the Fourth Department of Orthopedics. At that time, Teacher Zhu was still in charge."
"Chang Weilong naturally had certain thoughts in his heart. Although he did not show it, he must have thought so in his heart, so he rarely went to the department and rarely performed surgeries. He even went to the outpatient clinic less often."
"Even students, haven't they been left to you for months?"
"As soon as the UID came out this time, Chang Weilong immediately applied for the idea of leaving clinical practice and wanted to devote himself to teaching work."
"It's just that I haven't given it up yet, and then other people have gone out to support other places. Now the hospital is under-staffed, and the graduate students are all staying in their dormitories. There is not much student work that needs to be done in the office."
"Brother Weilong has just returned to the department, but he seems to be unwilling."
After Fang Nixin sighed, she shook her head.
He muttered: "It's not the position of ward director that is causing trouble. Professor Chang thought that after Professor Min Hong became the chief director, he would be the most suitable to take over the fourth department of orthopedics. After all, he is the only one with the right title and age."
"I never expected that Professor Min Hong would make an exception and promote Zhu Lihong as the attending physician."
"In the department, there is a truth that either the ward director or the part-time worker is naturally unconvinced by anyone. Teacher Zhu can't say much about Teacher Chang's choice. He basically doesn't care. He can't control it.
.”
Chang Weilong has been the deputy senior officer for a long time. When Zhu Lihong took over as director, he was not yet the deputy senior executive and was not even on the same level. How do you manage it?
Lu Cheng then asked: "Professor Huang, didn't you say anything?"
"What do you think you should say?" Fang Nixin asked.
Lu Cheng thought about it, and it was really hard to say. Although Professor Huang You was senior, how could he interfere in the affairs between young people? Moreover, Chang Weilong had already withdrawn voluntarily. If you want to say anything more, wouldn't that be a bit confusing?
Do you mean aggressive?
Moreover, what Chang Weilong lacks is not sophisticated skills, but that he is too conservative and does not have the same fighting spirit as Min Hong.
So it might not be to Min Hong’s taste.
"It's hard to say, but I think we should not make any assumptions. When I went back to the department, Brother Long took good care of me." Lu Cheng shook his head and did not intend to continue to arrange Chang Weilong.
Before everything is settled, Qianwa should not add your own subjective emotions without authorization, otherwise it is very likely that a good person will be wronged.
This is not what Lu Cheng wants to see.
There are too many reversals in this world.
"Well, okay." Fang Nixin opened her mouth and held back what she originally wanted to say.
Lu Chengcai asked: "Fang Nixin, you are a patient, can't you make up your mind?"
"Bone destruction." Fang Nixin said.
Then he took out the results of the CT scan and handed it to Lu Cheng to see: "Look, everything here has been eroded. This patient has no external injuries. He just suffered a fracture on the way out for examination."
"The orthopedic department is not open now, so we can only call the general ward."
"Come and see."
Lu Cheng took a look and found that it was indeed the case. There was a semi-open cavity in the middle of the femur. The contents inside could not be scanned out, but this gap was very clear on the CT scan.
"Have you had an MRI scan?" Lu Cheng asked.
Whether it is infection or bone tumor, it is very important to determine the plane and size by MRI scan.
"After scanning, no solid mass was seen. There was no periosteal reaction on the plain film, and even the edema that is common in infection was not seen, so it is quite strange."
"I just called for a consultation."
Fang Nixin replied, pointing out the key points she saw to Lu Cheng.
To be continued...