Doctor of Healing

Xu Leyu felt helpless and funny, and was about to throw Ji Xiang out, but he immediately realized that something was wrong.

I did ask about the medical history, but no matter whether my question or the patient's answer, the point is not here.

Does it matter how you fell?

unimportant!

The focus is on the result of the patient's fall - a shoulder dislocation.

Why did Jixiang learn so vividly?

Xu Leyu had a delicate mind, pondered carefully, and suddenly thought of a point - Ji Xiang just stretched out his arms to the extreme, so that he looked a little weird.

The shoulder joint is a ball-and-socket joint composed of the humeral head and the glenoid of the scapula. The glenoid is small and shallow, and the joint capsule is thin and loose. Extension, Abduction, Rotation and Circulation.

These anatomical characteristics also determine that the shoulder joint is the joint most likely to be dislocated (followed by the elbow joint). The incidence of shoulder joint dislocation accounts for 50% of the total joint dislocation, which is three times that of the elbow joint dislocation.

brush!

Countless images appeared in Mr. Xu's mind.

There is a relatively rare condition in shoulder dislocation-posterior dislocation.

Then there is an extremely rare case of posterior dislocation, vertical dislocation.

An animation frame by frame flashed in Mr. Xu's mind. The humeral head was completely protruded and locked under the glenoid fossa.

To form a similar dislocation, extreme abduction of the upper arm is required, just like Ji Xiang's movement.

No wonder it looks so familiar. When I was in school, the teacher talked about shoulder dislocation and did similar movements!

"Doctor Xiaoji... just wait a moment." Xu Leyu explained to the patient, and hurriedly dragged Ji Xiang out of the treatment room.

Zhao Tianjiao was taken aback, Ji Xiang seemed to be making a fool of himself, why did Mr. Xu drag him out?

Feeling a little puzzled, Zhao Tianjiao followed him out.

"Dr. Xiaoji, do you mean that the patient may have a vertical dislocation among the rare posterior dislocations?"

"It's possible." Ji Xiang didn't give Mr. Xu an affirmative answer, "I saw that the reset failed twice. I don't think it's a problem with the technique, but it may be the cause of the patient's own illness."

Although Ji Xiang didn't speak ill of him behind his back, and even helped him to excuse himself, saying that it was the cause of the patient's condition, but Zhao Tianjiao felt that Ji Xiang's words were full of sarcasm.

"It's possible." Xu Leyu didn't have as many emotions as Zhao Tianjiao, he pondered, and then said, "Do an MRI!"

"Mr. Xu, nuclear magnetic resonance is not convenient at night." Zhao Tianjiao reminded.

"It's okay, I'll take it with me and watch the movie directly on the machine." Xu Leyu said.

Jixiang's posture just now has given enough reminders, but because it is too rare, an MRI must be done to confirm.

As for the MRI side, orthopedic patients do a lot. As the chief resident, he is very familiar with the doctors in the MRI room.

Xu Leyu hurried back, and looked back at Ji Xiang the moment he entered the door.

Chapter 321 Cooperating tacitly, like an old husband and wife

Xu Leyu didn't procrastinate, and after making a phone call, he took the patient to the MRI room for examination.

After the patient was sent in, Xu Leyu stood in front of the machine and asked, "Dr. Xiaoji, what do you think?"

"Extreme abduction of the upper arm, external force acts on the upper arm, the upper arm uses the humeral head as the axis of rotation, and uses the acromion as a lever to pry the femoral head out of the joint capsule to below the glenoid."

"Yes!" Xu Leyu turned his right hand into a fist and slammed it on the palm of his left palm, "If this is the case, the normal reset method will not go back."

"It's not impossible, you have to use anesthesia." Ji Xiang added.

"Yes, it is feasible to infiltrate and inject anesthesia in multiple directions into the joint cavity and around the joint. If it is still not possible, we can only go to the stage and do an incision."

"It shouldn't be needed. Check the film first. If there is no fracture, it must be a vertical dislocation. Let's discuss how to reset it."

Ji Xiang and Xu Leyu chatted enthusiastically, but Zhao Tianjiao stood aside and couldn't get in the way, feeling jealous when he heard it.

This is not the clinical resident boss and Gui Peisheng chatting, it is clear that the two inpatients are always discussing a countermeasure for a difficult case.

Moreover, Mr. Xu Leyu obviously regarded Ji Xiang as a doctor equal to himself, and he didn't have the vigor to treat Gui Peisheng at all.

What the hell is the protagonist!Zhao Tianjiao was crying in his heart.

But when he opened his eyes, he could see Ji Xiang and Mr. Xu Leyu standing side by side in front of the computer in the MRI operation room, whispering to each other.

decline!

It's disgusting!

In Zhao Tianjiao's eyes, Ji Xiang's back was full of evil temperament, like a big devil standing in front of him.

That's your place, your own!

Zhao Tianjiao was crying in his heart.

After a few minutes, the image appears.

"Sure enough!" Xu Leyu said excitedly, "There is no fracture, it is a rare vertical shoulder dislocation!"

"It seems to be, use anesthetic." Ji Xiang replied very flatly.

Damn it, Zhao Tianjiao slandered behind his back if he could really pretend.

"Doctor Xiaoji, have you done it?" Xu Leyu asked.

"I saw two cases during my internship."

"That's great, we'll be together later." Xu Leyu seemed to forget the existence of Zhao Tianjiao, and invited Ji Xiang to operate with him.

"it is good."

Listening to the exchange between Mr. Xu Leyu and the big devil Ji Xiang, Zhao Tianjiao has been burned to ashes by jealousy.

Taking the patient back to the ward, Xu Leyu did not ask Gui Peisheng and the patient's family to explain, but personally called the patient and the patient's staff to the doctor's office to explain carefully to the MRI film.

In order to make it clear, he made a few movements, just like what Ji Xiang did just now.

Zhao Tianjiao looked very bitter.

It is clear that he is the proud son of heaven, and he is the template of the protagonist, so why is Ji Xiang taking the lead again!

If it is said that he lost in the exam or the martial arts competition, Zhao Tianjiao would admit it.But this is the Department of Orthopedics, and I have stayed by myself for three months, and I am very familiar with everyone from top to bottom.And Ji Xiang, he just arrived!

Mr. Xu called himself when he was undergoing internal fixation of clavicle fracture, but he was concentrating on studying and preparing for the exam, so he missed it because his phone was muted.

But I didn't expect that Ji Xiang would steal the house if I didn't pay attention.

What a surprise!

After the lecture, they signed the preoperative informed consent form, and Xu Leyu and Ji Xiang prepared things to reset the patient.

Because it involves a relatively rare situation, Mr. Xu is very cautious.

5mL of lidocaine hydrochloride was diluted 1:1 with normal saline, and he glanced at Ji Xiang.

"Mr. Xu, let me do it." Ji Xiang knew that Xu Leyu rarely did similar operations, so he simply took over the work.

After all, he has made more than a dozen or dozens of machines in the operating room of the system, and he is already familiar with it. If Xu Leyu is assigned to do it, Ji Xiang is not at ease.

Jixiang used a 5ml syringe habitually and replaced it with a 1ml needle.

Although it takes a lot of effort to push the medicine with a 1ml needle, the patient's pain can be relieved a little, and Ji Xiang is willing to spend a little more effort.

Infiltration anesthesia around the joint cavity and deltoid muscle, Ji Xiang's technique is very simple and ordinary, Xu Leyu didn't pay much attention after looking at it twice.

With his level, Ji Xiang couldn't appreciate the subtleties in his operation.

About 4 minutes later, the pain in the patient's right shoulder disappeared.

The effect of the anesthesia was great, Xu Leyu admitted.

The two stood beside the patient, and Xu Leyu glanced at Jixiang again.

Ji Xiang was not polite, he gently pulled the affected limb along the outer and upper direction of the upper arm deformity.

"Here." Ji Xiang and Mr. Xu said.

Mr. Xu is not a novice, he immediately understood what Ji Xiang meant.

He pushed the humeral head in the direction of the glenoid under the armpit, and Jixiang retracted his upper arm to reset while pulling.

The two cooperated tacitly, and Zhao Tianjiao was as angry as if he had been cuckolded.

"click~"

There was a crisp sound.

Xu Leyu was happy to comfort him, while Zhao Tianjiao continued to scum.

Just now I didn't hear the sound of "click" even after trying my best. Ji Xiang solved the problem so quickly after going up.

Really special!

"Okay, try to move around." Ji Xiang said to the patient.

"So fast?" The patient was taken aback.

"Well, try to move, don't move too violently, it's almost enough." Ji Xiang reminded.

Suspicious, the patient raised his right arm tentatively.

The right arm, which was unable to exert any strength just now, seemed to be completely healed in an instant!

The patient moved in disbelief, and moved again, like a newborn.

"Okay, don't move yet." Ji Xiang pushed down the patient's next door and began the final examination.

After successful reduction, the passive movement of the shoulder joint was normal, the glenoid was full, the square shoulder deformity disappeared, and the Dugas sign (-).

"Mr. Xu, it's done." Ji Xiang smiled.

"Not bad." Xu Leyu was quite satisfied, "I'll take the patient to take an X-ray."

Mr. Xu was very cautious, Ji Xiang didn't say anything, just take a look if you want to, just take a look and make sure.

Although there was no system task in the patient's treatment, Ji Xiang was still very happy, especially when he heard the "click" at the end, which was clear and sweet like the sound of the system task being completed.

"I'll clean it up." Ji Xiang put on gloves and took care of the finishing work.

Mr. Xu was a little embarrassed, he smiled, but he was not polite, and took the patient for an examination.

While cleaning up the mess, Jixiang carefully recalled the rare disease he just experienced.

"Ji Xiang, amazing!" Lu Kai didn't leave, he cleaned up with Ji Xiang, Lu Kai said, laughing, "You didn't see Zhao Tianjiao's face after the reset was successful, that's ugly!"

"No." Ji Xiang smiled.

"Don't overestimate people's hearts." Lu Kai reminded, and then came to his senses, "Ji Xiang, don't be so cautious."

"Prudent? What cautious?"

"Gossip about people behind their backs." Lu Kai said, "I just don't like Zhao Tianjiao. Looking at him like that, I really thought the hospital belonged to him."

Chapter 322

Tang Yan was biting her straw with a sad face.

"He has gone to the orthopedic department, please familiarize yourself with the orthopedic surgery recently." Feng Yuqing was explaining the next "work plan" to Tang Yan.

"Sister Yuqing, I shouldn't continue to rotate with Jixiang forever." Tang Yan was in pain.

It’s fine if it’s someone else, Jixiang’s operation is fast, and he has to be quite proficient to keep up with Jixiang’s hand speed.

Tang Yan was a little annoyed when she was just familiar with the operation of urology and interventional department.

"Normally speaking." Feng Yuqing raised the corner of her mouth, "Is there a problem?"

"No!" Tang Yan only dared to complain. Hearing what Feng Yuqing said, she immediately sat up straight with a serious face, "Even if it's a mountain of swords and a sea of ​​fire, I'll go."

"That's right, like a young couple." Feng Yuqing didn't mind, and said with a smile.

"..." Tang Yan was startled, she immediately knew that what she just said would cause ambiguity, "That's not what I meant."

"I know, you should be familiar with orthopedic surgery first."

"Sister Yuqing, someone in Corey has started to gossip now."

"What gossip? Fire you and Jixiang's CP?" Feng Yuqing asked.