Chapter 1328： Shoulder instability

"Dr. Ling, this is the patient Liu Lisheng, 17 years old, with multiple shoulder dislocations, no surgery, and manual reduction. This time he broke his left shoulder while skiing and was sent to the doctor..." Zuo Cidian entered the ward. Only then did he introduce the specific situation of the patient to Ling Ran.

Although this patient was involved in the attitude of the Orthopaedic Director Hu, it is common for surgeons to enter the ward door and forget what they said before.

Ling Ran naturally walked to the opposite side of the patient and signaled Zuo Cidian to call up the video film. At the same time, he said to the patient, "I'll check you up."

Zuo Cidian secretly took a deep breath before he obeyed Ling Ran's order to follow suit.

In this way, Ling Ran had completely abandoned orthopedics.

Although Director Hu is not the head of the Department of Orthopedics, generally speaking, Director Hu said so, either to obtain the consent of the head of the department or tacitly agree.

In fact, think about it, the orthopedics department will be upset and respond sooner or later after so many orthopedic surgeries have been done in the emergency department.

If Huo Congjun came forward, the orthopedics department would be able to bear it for the sake of his face and tongue, but it is not surprising that there is no need to bear it anymore.

The source of the disease involves too many things, let alone conflicts between two departments, that is, the conflicts inside the same department are often irreconcilable.

When Zuo Cidian thought of this, he didn't even think about it.

From his inner considerations, Ling Ran can't offend Director Hu, but in another direction, this Director Hu is also a bit careless. When Director Huo organized the source of the disease and explored the types of diseases and surgical procedures, why didn't he say anything, didn't he dare to confront the chief director of Yun Medical? Then he dared to confront Ling Ran, and he couldn't say that he was holding the mentality that the other party was young.

Even so, Zuo Cidian felt that as long as Ling Ran had confidence, he would do it against him.

Think about it again, Ling Ran has even done heart surgery, but shoulder joint surgery in a small amount, what can he do.

"pain……"

The 17-year-old young patient originally wanted to tensed, but when Ling Ran pulled it twice, he called out in pain.

Seeing that the patient’s parents’ brows were already frowning, Zuo Cidian hurriedly walked over and said, “This is a drawer experiment. It checks the patient’s shoulder instability, mainly to clarify the degree of shoulder joint relaxation. The specific treatment is conservative treatment. Surgical treatment is still necessary, and it is decided by examination."

The patient's mother reluctantly nodded, and said: "It can also be lighter."

"Push the humeral head forward or backward, and the forward translation of the humeral head is greater than 25%, which is considered positive. If the push is not in place, the examination will be meaningless." Zuo Cidian explained it carefully, and also showed himself .

Like this kind of knowledge, he made up for it by himself.

The patient’s family was a little worried: "Is that positive now?"

"Positive, it means that the joints are loose." Zuo Cidian whispered.

"This... can you be sure in this way? It's too simple." The patient's mother was not very happy.

"This just shows that the joints are loose. We are mainly concerned with the indicators of shoulder instability." Zuo Cidian tried to slow down and said: "Surgery judgment is not so simple."

The patient's mother was really attracted, and asked: "That can be treated conservatively?"

"No." Ling Ran then flexed the patient's upper arm 90 degrees forward, rotated 90 degrees internally, and slightly adducted, and then applied a backward force to do a **** test and easily concluded.

The patient's father also said solemnly at this time: "This child has also been dislocated before, and he has been restored to conservative treatment..."

"His shoulder joint condition is no longer suitable for conservative treatment." Unlike Zuo Cidian's consideration, he said flatly: "From all aspects of the situation, surgical treatment is currently the best solution. "

"You just moved your arm to prove that he is going to have an operation?" The patient's mother was not convinced. The difference between surgery and conservative treatment was too great. If nothing else, the time could not be delayed first.

Furthermore, Ling Ran looked really young. Even if she was handsome, she couldn't take care of it at the moment. Instead, she looked at Zuo Cidian and said, "Doctor, you can take a look. Maybe conservative treatment."

In fact, most doctors tend to consider this attitude of patients. Zuo Cidian couldn't help but looked at Ling Ran a little shaken.

Ling Ran's attitude did not change in the slightest.

If the opinions of outsiders can easily influence him, then he should not think about doing his own thing. Even in the kindergarten, I am afraid that the girls will have to play every day.

For Ling Ran, ignoring the language of others and focusing on scientific judgment is the only way.

Faced with the opinions of his family, Ling Ran said without hesitation: "I make a conservative treatment judgment based on three points. First, through inspection, the patient has a square shoulder deformity, which is not very obvious, but it suggests a risk. .Secondly, joint laxity and shoulder instability were examined, and the patient was positive. Third, in the imaging film, only X-rays showed signs of "gap syndrome" and Moloney discontinuity, which were verified by CT. Combining the above points, The patient must undergo surgery."

Not only the patient’s family, but the doctors on the scene were all stupid.

Zuo Cidian recorded it silently, saying that he would have to remind the little doctors that they have to report like this.

"That is to say, it is very serious?" The patient's mother still asked unwillingly.

A group of emergency department doctors were accustomed to rolling their eyelids. Although Ling Ran's answer was extremely clear, with a clear diagnosis, the patient's family repeatedly asked, it was actually the most familiar routine for emergency doctors.

For patients with craniocerebral injury, myocardial infarction, and patients with heavy bleeding, their family members will often ask the doctor to ask: Is it serious?

Naturally, Ling Ran often encountered similar situations.

However, he never expected patients or their families to understand those seemingly ordinary words.

Just like when doctors use the term CA instead of cancer, many patients and their families will be blindfolded.

Ling Ran said directly in a slightly unfamiliar area like shoulder instability, "It's very serious. It must be operated on immediately."

"Okay... okay." The patient's mother finally understood something, and then she panicked. She couldn't help but grabbed her husband's arm and asked, "What should I do?"

"You call the school to ask for leave, and tell some tuition teachers. Parents don't notify me." The patient's father quickly said a few words, then looked at Ling Ran and Zuo Cidian: "What are we going to prepare? ?"

"We will arrange hospitalization and surgery for you. UU Reading will have nurses coming for missions. You will prepare tens of thousands of dollars and pay the deposit..." Zuo Cidian said, and then looked at Ling Ran. Asked in a low voice, "Latarjet technique?"

"Yes." Ling Ran nodded and said directly, "Go into the operating room."

Zuo Cidian responded, breathed a sigh of relief, and pressed the tension into his heart.

The Latarjet technique is Ling Ran's strike zone. If the next few shoulder joint surgeries are in Ling Ran's strike zone, Director Hu of the orthopedics department will temporarily be unable to attack.

So, with a little delay, maybe things will turn around.

Zuo Cidian silently considered these and others, and Ling Ran couldn't find them in the blink of an eye.

"I can't get easy." Zuo Cidian scratched his head, feeling a panic in his heart. Other doctors have thinning hair to this extent, at least they can change to a doctoral degree!

(End of this chapter)

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