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Chapter 155 Reset Plan (Second Update)

Poor kid Zhuang Zihao, he had to reset again less than half an hour after the first reset.This time he looked quite open, but with tears in his eyes, he said to Sun Li'en in a childish voice, "Brother, be gentler this time!"

Although I promised to be lighter, after all, it doesn't take enough strength to reset the joints, and it is impossible for the dislocated joints to return to their proper positions.Therefore, although Sun Li'en promised to "be lighter", he still didn't dare to hold back his strength.After ensuring that the reset was successful, he let go of his hands.

Zhuang Zihao cried in pain again, he jumped on the ground, and even wanted to hit someone with his hands in pain, but in the end he held back his movements, folded his arms and bowed to Sun Li'en, gritted his teeth, "Thank you uncle!" Then He ran out without looking back.

From elder brother to uncle, this is probably the biggest dissatisfaction a child can make.Sun Li'en smiled indifferently, and explained to Zhuang Zihao's mother who had paid the reset fee twice, the precautions for the child after reset, and then let him go - she had to send the child to grandma first Only then can he come back and continue to take care of Zhuang Tao.

After Zhuang Zihao left, experts from the orthopedics department also arrived.The visitor was none other than Zheng Guoyou who was wearing a hospital gown.

"Director Zheng, why are you here?" Seeing Zheng Guoyou appearing in the emergency room, Sun Li'en was startled, and hurriedly made a stool over, "You sit first."

Zheng Guoyou looked up and down Sun Lien dissatisfied, "What do you mean, kid? Do you think I, Old Zheng, can't even walk now?" He snorted, "Where's the patient? Let me take an X-ray and have a look!"

Zheng Guoyou put on the airs of a director, Sun Lien felt a little unexpected.After all, Lao Zheng's appearance when he came back from the electric shock did not seem like a person who likes to put on airs.Although he felt something was wrong, he obediently took the X-ray photos from the duty desk.Just when he was about to say something, he suddenly discovered that the iron door of the rescue room was not completely closed.There was a gap in the middle of the iron door, and an eye was peeking into the rescue room through the gap.

Because there are many critically ill patients in the emergency room, the rescue process may be quite hectic.And this kind of fuss is definitely a big deal in the eyes of the family members.In order to prevent the patient's family members from breaking into the emergency room in a hurry and interfering with the doctor's rescue work, the iron door is usually directly locked by an electromagnetic lock.

Sun Li'en was a little uneasy, and when he was about to close the door, he saw Zheng Guoyou's non-stop winking at him.

"Don't lock the door." Zheng Guoyou squeezed out the words, "My wife is peeking outside."

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It has been the third day since Zheng Guoyou was transferred to the general ward.This old man has long been used to treating himself as a first-line doctor. Now that he suddenly enjoys the treatment of a second-line doctor, Director Zheng not only does not feel comfortable, but feels like a kitten is scratching his paws in his heart. .He really can't sit still.

Just as Director Zheng Guoyou was lying in the ward, wanting to watch X-rays to relieve boredom, the cell phone of the student Lin Tianshun who came to visit him rang.Sun Lien called the orthopedics department to ask for an expert consultation, and Lin Tianshun was the only deputy orthopedic doctor who was free to go directly to the emergency room.

"What are you doing?" Zheng Guo got up from the bed as soon as he heard that there was a consultation.He snatched Lin Tianshun's cell phone, and hung up the phone after listening to the content on the other end.Then he told Lin Tianshun, "Okay, okay, you go do your work, I'll go to the emergency room to see what's going on."

"Teacher Zheng..." Lin Tianshun knew that he would not be able to persuade Comrade Zheng now, so he decided to intervene from a different angle, "Director Xiao said that you are not allowed to go to the front line."

"I'm not going to break someone's arm!" Zheng Guoyou retorted back confidently, "It's just a consultation. Xiao Sun is young and strong, even if he wants to set his bones, it's not my old Zheng's turn to do it!"

Lin Tianshun moved out of the Great Master without arrogance, "Anyway, I'm sure you won't listen to my advice, but if you leave this ward, Director Xiao will definitely know."

"If you know it, you will know it." Zheng Guoyou was really suffocated. When he heard about a rare and difficult situation, he didn't even care about his wife's small books. "I've been working all my life in treating diseases and saving lives. It's addictive! I can't be forced to retire just because I had a heart attack five days ago!"

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Having said that, Zheng Guoyou walked up to the first floor with his hands behind his back.But on the way, he saw Xiao Lirong who was about to come to make rounds.As expected of Director Zheng, he has seen big scenes and has rich experience in the battlefield.He simply pretended not to see it, and swaggered into the emergency room.Let's have a good time with the consultation first, and then think of a solution for the rest when disaster strikes.

"Director Zheng..." Sun Lien had no choice but to follow Zheng Guoyou's wishes and accompany him to continue acting. "This is the X-ray picture I just got."

Zheng Guoyou took the X-ray, glanced at it nonchalantly, and then widened his eyes. "Um?"

Zheng Guoyou's reaction had long been expected by Sun Lien.To be honest, Sun Lien had the same reaction when he saw this X-ray picture for the first time.The ankle joint was completely dislocated, and the talar body was separated from the ankle point, but Zhuang Tao didn't break a bone, and he didn't even have a separation of the fibula and tibia.

"Look at this again." Sun Li'en handed over another frontal X-ray picture, and he pointed to the arch of the patient's foot on the picture, "Judging from the shape of the arch of the foot, this patient should have flat feet."

"Flat feet may cause ankle instability." Zheng Guoyou understood Sun Lien's meaning, "Have you asked about the medical history?"

Sun Li'en was a little ashamed, "I haven't had time yet..."

"Why don't you ask directly?" Zheng Guoyou taught Sun Lien a lesson, "Medical history is the fastest and most direct way to obtain the basic information of a patient. You can't ignore the medical history inquiry just because there are auxiliary examination methods!"

Sun Li'en nodded in agreement, and he could tell that Lao Zheng was probably still acting.As long as he acted as if he was here to "guid the diagnosis", Director Xiao probably wouldn't come in directly to interrupt Lao Zheng, and the effort to deal with Zheng Guoyou might be a little lighter in the future.

But if Zheng Guoyou intends to roll up his sleeves and work directly, then Director Xiao may have to come in and pull Lao Zheng's ears. After all, bone setting is a labor-intensive job, and Zheng Guoyou's heart is still not capable of heavy exercise.

Sun Lien didn't explain what happened to Zhuang Zihao. Instead, Zhuang Tao, who was lying on the hospital bed, felt sorry for Sun Lien, "Dr. Sun is very responsible. He was busy dealing with my son's injury just now, so he didn't have time..."

"That was his mistake at work, and it has nothing to do with dealing with the injury." Old Zheng didn't care much about Zhuang Tao's explanation, and he asked directly, "Have you ever sprained this foot before?"

"I've twisted it a few times." Zhuang Tao replied, "I'm a construction worker. I usually wear leather shoes to run around the construction site. The ground is uneven, and sprained ankles are common."

"This ligament is troublesome." Zheng Guoyou looked at the X-ray and sighed, "The ligament is already loose due to habitual sprains, but now it is completely dislocated. Even if it is directly reset by manual methods, it may still be dislocated later."

Zhuang Tao himself has flat feet, which means that his ankle joints are more "valgus" than ordinary people.And such valgus will cause the ligaments at the ankle to be looser, and the ankle joint is more likely to be unstable when walking.As a result of the instability, his ankles are more prone to sprains than ordinary people.

After multiple sprains, Zhuang Tao's ankle ligaments will become more loose, which led to his accidental fall this time, which completely dislocated his right ankle joint.But fortunately, probably because of the laxity of the ligaments, he only showed a complete dislocation of the ankle joint, and there was no sign of fracture.

"Is it possible to reset the technique?" Zhuang Tao's fault diagnosis is not difficult, the real difficulty lies in the treatment method. "I did a general examination just now. The patient has no tendon rupture, no nerve damage, and no blood vessel or other problems. It's just a simple dislocation."

Zheng Guoyou looked at the X-ray, pondered for a moment, shook his head and said, "It is impossible to do this by simple manipulation." He pointed to the tissue around the picture and said, "The patient's muscle tissue is relatively developed, look here He has a lot of muscles in his legs. Now that he is dislocated, these muscles are tense and under great stress. Simply relying on technique, let alone me, an old man, you may not be able to pull it with three or four young men. open."

Zheng Guoyou's worry was very reasonable. After all, he often went to the construction site, and Zhuang Tao's legs did look very strong.Moreover, if manual reduction is performed directly, the tense muscles need to be stretched directly to restore the detached joints, so that the originally uninjured tendons may also be damaged.

"Then..." Sun Li'en was a little uncertain about the treatment plan, "Surgical reduction after incision, and then direct external fixation with Kirschner wires? Will this be a bit too much?" Kirschner wires are a kind of direct A steel needle fixation device that is inserted into the bone and is exposed outside the skin.These exposed steel nails will finally be connected to the steel frame outside the body to achieve the purpose of fixing the bone.Kirschner wire itself is actually a relatively common solution, but because it looks too intrusive, doctors and patients generally don't like to use it.

"That's not necessary." Zheng Guoyou shook his head, and said with confidence, "Send the person to the operating room for inhalation anesthesia. Then relax the upper muscles. After the muscles relax, do the manual reset." Zheng Guoyou also specialized I made a gesture on the X-ray picture, "Let the assistant fix it here, then the attending doctor pulls the leg down, and then twists the ankle in the opposite direction. That's all."

　There's at least one more tonight.

　　
　
(End of this chapter)