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Chapter 97 Someone in your family works in the National Health Commission!

Lu Cheng quickly took out the cigarette and said, "Thank you for your compliment and kindness, but I don't smoke. It would be wasted if I leave it there. You can keep it and smoke it yourself."

Cao Xiaohe is also a non-smoker, but he hasn't reacted yet. He just kept thinking in his mind, was what Lu Cheng and I just performed a manual reduction of hip dislocation?

Yes, you, Lu Cheng, used the classic reset technique. Everyone knows that he can reset, and I also know how to do it, but knowing how to do it and how well you do it are two different things. Who can do it in one go?

Was the reset successful? Cao Xiaohe has never encountered this in so many hospitals.

Moreover, in the textbook, oh no, in the Campbell textbook of orthopedics, the standard reduction technique is.

Under spinal anesthesia, the patient lies on his back, and the assistant fixes the pelvis, hips, and knees to 90 degrees...

Did you remember the key points?

Do you remember the premise?

Under spinal anesthesia, or even if it doesn't work, how about a local anesthesia to relax the muscles?

You are reset.

And just once.

Generally speaking, from a medical perspective, being able to reset it within three to five times is called the success rate of reset.

Are those damn things of yours done by humans?

But after hearing Lu Cheng's speech, he didn't dare to express his inner complaints. He immediately put the cigarette on the patient's bed and said: "Dr. Lu, thank you for your hard work. You should go and rest first. The next regular work

, I can still handle it myself.”

After the hip joint is dislocated, it is not just a matter of reduction. The reason why the dislocation occurs is because the soft tissue must have been hit, causing cracks in the soft tissue around the acetabulum that originally wrapped the femoral head, and then it will prolapse. Therefore, after the reduction is successful,

, you need to fix it, and then rest slowly. Only when the soft tissue slowly grows up or the scar recovers can the stability be restored, otherwise it will be extremely easy to prolapse.

Lu Cheng has done all the resetting. If Lu Cheng is still required to put on plaster, then what he does is not a personal thing. This is different from what Lu Cheng does not a personal thing.

You can choose a hip spica cast, or you can fix it on the bed. The patient just has a fracture surgery to do, so there is no need to wear a painful hip spica cast.

When Lu Cheng heard what Cao Xiaohe said, his eyes flashed. He retracted his hand that was about to reach out to reset the patient's humeral fracture, nodded, and walked out.

Only after seeing Cao Xiaohe walking out of the ward, Lu Chengcai couldn't help but ask: "Brother Cao, does your department usually perform open reduction on his humerus?"

Cao Xiaohe paid no attention to what Lu Cheng was saying. He had been immersed in the shock that Lu Cheng could successfully reset in one go, so he didn't pay much attention and nodded: "Yeah."

But it seemed that he realized again that there was something in Lu Cheng's words.

Looking at Lu Cheng, his expression was unnatural: "Huh?"

"What do you mean?"

Lu Chengdao: "He has an A3 type fracture, which is a stable fracture."

"But each department has its own treatment methods and indications." Lu Cheng shut up immediately. He felt that he had not been involved in clinical practice for a long time, so he was a little distracted.

As a student who has not yet obtained his academic status, he began to question the choice of patient treatment methods in emergency surgery.

If Lu Cheng comes to the emergency surgery department from now on, he might be beaten to death by his boss.

Cao Xiaohe was particularly confused when he heard this. It was only after he came to the emergency department here that he learned that the emergency surgery department here might build an orthopedic trauma center, and even had the ambition to expand into an entire major surgical emergency clinical center in the next step. Therefore,

As an emergency doctor, he also needs to start learning specialized skills. Orthopedics is what Professor Li Dongshan is best at, so of course it is better to start here.

However, orthopedics involves a lot of bones. There are at least a dozen types of fracture classifications for each type of fracture, and there are more than 50 types of larger fractures. In addition, the location of the fracture is different, and the method of classification is

They are all different, and the treatment principles for each type are different.

He, Cao Xiaohe, has only been doing this for less than half a year, how could he possibly figure it out so clearly?

So he asked for advice: "What do you mean, Xiao Lu?"

"Can this patient undergo manual reduction? No surgery is required?"

Cao Xiaohe is very likely to stay in the future, and the emergency surgery department has its own emergency surgeries to do, so he must start to get in touch with orthopedics, so asking Lu Cheng for advice is necessary and not shameful. After all, he has a lot of contact time

few.

Lu Cheng quickly apologized: "I'm sorry, Brother Cao, I made a mistake."

Cao Xiaohe immediately turned over the silver and said, "Just nod if you do. Whatever you think, I admitted this patient. I didn't find the chief hospital officer. It almost scared me to death."

"If it can be restored manually, then just send him away."

Lu Cheng looked at Cao Xiaohe seriously, and Cao Xiaohe also looked at him seriously, not showing off.

So he said: "I think we can give it a try? But to a certain extent, his indications for surgery also exist. Teacher Lin Hui from the Department of Orthopedics just now may also think that surgery is needed."

"But why don't you call the boss of your department and ask."

This is something that requires responsibility, so it must be reported to the superior.

Cao Xiaohe said: "It's now time. If I could call the boss, I wouldn't ask Mr. Lin for help."

The common name for the chief resident is Mr. So-and-so. It sounds nice, but in reality, he is more like a dog than a resident doctor. He always looks to the boss for everything. They are the ones who are always responsible, always looked for, and always scolded.

"I'll discuss it with the patient's family!"

"..."

Fifteen minutes later, the patient's family immediately sent Lu Cheng and Cao Xiaohe out of the ward with gratitude, and then shouted from a distance: "Thank you, Dr. Cao, thank you, Dr. Lu. I called you some fruits and they will be delivered. I will definitely deliver them."

Remember to eat."

As they walked, Cao Xiaohe kept giving Lu Cheng thumbs up: "Awesome, Xiao Lu, I found that you are really awesome in orthopedics, much more awesome than in emergency department, I

I used to wonder why you didn't come to the emergency room, but that was because I was being petty."

"Brother Cao, you are exaggerating. I am just an ordinary orthopedic surgeon." After saying that, Lu Cheng looked at the time and said quickly: "Brother Cao, it's getting late. I'm still taking exams with Teacher Lin Hui, so I have to go first.

Let’s take a step forward, lest he deduct points from me if I arrive late.”

Cao Xiaohe was stunned after hearing this. He was drinking water and immediately stopped and said, "Huh? Are you going to take the assessment with Lin Hui? What kind of assessment?"

"Graduate student interview, where is the clinical assessment required?"

Lu Chengcheng said: "I have finished my undergraduate studies and want to study for a direct doctoral degree. The department gave me a chance, but I have to perform well to get it."

"Pfft. Gurgling." Cao Xiaohe's eyes immediately bulged into frog eyes, and he almost spit out the water in his mouth, but after gurgling for a while, he swallowed it and almost didn't choke in his trachea.
Chapter completed!
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