Chapter 1329 - unstable shoulder
Chapter 1329: Chapter 1328 — unstable shoulder
Translator: 549690339
“Doctor Ling, this is the patient, Liu Lisheng. He’s 17 years old. His shoulder has been dislocated many times, and he hasn’t undergone any surgery. All of them have been repositioned by hand. This time, he injured his left shoulder while he was skiing, and he was sent to the hospital…”Zuo Cidian went into the ward, only then did he introduce the patient’s specific situation to Ling ran.
Even though this patient involved the attitude of department director Hu of the Orthopedics Department, it was common for surgeons to enter the ward and forget what they had said before.
Ling ran naturally walked over to the patient and motioned for Zuo Cidian to bring up the video. At the same time, he said to the patient, “Let me examine you.”
Zuo Cidian secretly took a deep breath before he obeyed Ling ran’s order.
In this way, Ling ran had completely abandoned the orthopedics department.
!!Even though department director Hu was not the department director of the Orthopedics Department, usually, when department director Hu said that, he would either win the department director’s approval or acquiesce to it.
In fact, when they thought about it, the orthopedics department would sooner or later react to the fact that the emergency department had performed so many surgeries in the orthopedics department.
If Huo Congjun stepped forward, the orthopedics department would probably be able to bear with it for the sake of Huo Congjun’s face and tongue. However, it was not strange for the orthopedics department to not have to bear with it anymore.
There were too many things involved in the source of the disease. Even the internal conflicts within the same department would often become irreconcilable, let alone the conflicts between two departments.
When Zuo Cidian thought of this, he decided not to think about it anymore.
From the perspective of Zuo Cidian, Ling ran could not offend department director Hu, but from another perspective, department director Hu was also a little unscrupulous. Previously, when department director Huo organized the source of the disease and developed the types of diseases and surgical methods, why did he not say anything? wasn’t it because he did not dare to go against the Great Department director with real power in Yun Hua Hospital? Then, if he dared to go against Ling ran, it might be because he was still young.
In that case, Zuo Cidian felt that as long as Ling ran was confident, he would go against him.
When he thought about it again, Ling ran had even performed a heart surgery, so what could a mere shoulder joint surgery do.
“It hurts…”
The seventeen-year-old young patient originally wanted to stretch it a little, but after Ling ran pulled it twice, he cried out in pain.
When Zuo Cidian saw that the patient’s parents were frowning, he quickly walked over, he said, “This is a drawer experiment. It’s to check the patient’s shoulder instability. The main purpose is to determine the degree of relaxation of the shoulder joint. “Whether it’s conservative treatment or surgical treatment, we’ll have to do a check before we can decide.”
The patient’s mother nodded reluctantly and said, “It can also be lighter.”
“Push the humerus forward or backward. If the humerus is shifted forward by more than 25% , it can be considered positive. If it is not pushed properly, the examination will be meaningless,”zuo cidian explained earnestly, at the same time, he also showed himself.
Knowledge like this was all made up by him after he made up for it.
The patient’s family was a little worried. “Is it positive now?”
“Positive means the joint is loose,”Zuo Cidian said in a low voice.
“This… can we be sure just like that? It’s too easy.”The patient’s mother did not look very happy.
“This only means the joint is loose. We are mainly concerned about the indicators of shoulder instability.”Zuo Cidian tried to slow things down and said, “The judgment of the surgery is not that simple.”
As expected, the patient’s mother’s attention was attracted. She asked, “So, it can still be treated conservatively?”
“No.”At this time, Ling ran flexed the patient’s upper arm 90 degrees, rotated it 90 degrees, and slightly retracted it. Then, he applied a backward force. He did a jerk test and easily came to a conclusion.
At this time, the patient’s father also said in a deep voice, “This child has been dislocated before. They were all treated conservatively…”
“The condition of his shoulder joint is no longer suitable for conservative treatment at the moment.”Zuo Cidian did not think too much about it, he said in a straightforward manner, “From all aspects, surgical treatment is the best plan at the moment.”
“You only moved your arm once, and that proves that he wants to have surgery?”The patient’s mother was not convinced. There was too big a difference between performing surgery and conservative treatment. Not to mention other things, she could not afford to delay any longer.
Moreover, Ling ran did look a little young. Even if he was handsome, she could not care less at this moment, instead, she looked at zuo cidian and said, “Doctors, please take a look again. If you can treat him conservatively, do your best to treat him conservatively.”
In fact, most doctors would have a biased view of the patient’s attitude. Zuo Cidian could not help but look at Ling ran with some hesitation.
However, Ling ran’s attitude did not change at all.
If the opinions of outsiders could easily influence him, then he could forget about doing his own thing. Even in kindergarten, he would probably be dragged around by the girls to play House every day.
For Ling ran, ignoring the words of others and focusing on scientific judgment was the only way.
And when faced with the family members’opinions.., ling ran said without hesitation, “I made the judgment of conservative treatment based on three points. “First, through visual diagnosis, the patient has a square shoulder deformity. It’s not very obvious, but it hints at the risk. “Second, the patient is positive for joint laxity and shoulder instability. “Third, in the X-ray film alone, there were signs of “Interstitial syndrome”and Moloney discontinuity. It was also verified by CT.. “Based on the above points, the patient must undergo surgical treatment.”
It was not just the patient’s family members. All the doctors on the scene were dumbfounded.
Zuo Cidian even silently took notes. He thought to himself, ‘I’ll have to remind the young doctors in the future to report like this.’.
“So, you’re saying that it’s very serious?”The patient’s mother still asked unwillingly.
A group of doctors from the emergency department rolled their eyes as if they were used to it. Even though Ling ran’s answer was already very clear, the patient’s family members kept asking questions under the clear diagnosis, in fact, it was a daily routine that the doctors from the emergency department were most familiar with.
The family members of patients with craniocerebral injury, patients with myocardial infarction, and patients who were bleeding non-stop would often ask the doctor if the patient’s condition was serious?
Naturally, Ling ran often encountered similar situations.
However, he never expected the patient or the patient’s family members to understand those seemingly ordinary words.
It was just like when doctors used the word Ca to replace cancer, many patients and their family members would be blindfolded.
Ling ran directly said to the slightly unfamiliar field of shoulder instability, “It’s very serious. We have to operate immediately.”
“Alright… Alright.”The patient’s mother finally understood a little. Then, she became flustered. She could not help but grab her husband’s arm and ask, “What should we do?”
“Call the school to apply for leave. Tell the tutor as well. Don’t inform your parents yet.”The patient’s father quickly said a few words. Then, he looked at Ling ran and Zuo Cidian. “What do we need to prepare?”
“We’ll arrange for you to be hospitalized and operate. In a while, a nurse will come to teach you. Prepare tens of thousands of dollars and pay the deposit…”Zuo Cidian said this before he looked at Ling ran and asked in a low voice, “Is it the Latarjet surgical technique?”
“Yes.”Ling ran nodded and said directly, “Let’s go into the operating theater.”
Zuo Cidian responded and heaved a sigh of relief. He suppressed the nervousness in his heart.
The Latarjet Surgical technique was Ling ran’s strike zone. If the next few shoulder joint surgeries were all in Ling ran’s Strike Zone, department director Hu from the Orthopedics Department would not be able to attack for the time being.
In that case, if they delayed it a little, perhaps things would turn around.
Zuo Cidian silently considered all these unnecessary things. In the blink of an Eye, Ling ran was nowhere to be found.
“Why can’t I Relax?”Zuo Cidian scratched his head. He felt a sense of loss in his heart. If other doctors’hair was sparse to this extent, they could at least get a doctor’s degree!