Chapter 36: What did our department take away? (Please collect and read)

Author: Jiangdi Youbai

Chapter 36: What did our department take away? (Please collect and read)

"Do you have any films?" In the emergency department clinic of Xuanxian People's Hospital, the doctor on duty was a little busy. He hurriedly glanced at the medical record handed to Lunwu and asked without looking up.

"Yes, look! Here." Xiang Zhongshu quickly handed over the X-ray film and the bag.

"There is only one picture here. Are there no pictures after the reset? There should be two pictures." The doctor on duty still didn't look up. There were many people queuing at the door. He hadn't had lunch yet, so his tone was slightly anxious.

"I didn't take any pictures after the reset. I thought it was no longer painful, so I came to the county to take a picture together. The doctor there also suggested taking an MRI." Xiang Zhongshu quickly expressed his request.

At this moment, he was pushed in the back. He stumbled and turned around quickly, his eyes turning white with a hint of horror.

"I'm sorry, I'm sorry, my lower back hurts so much that I can't stand still." A middle-aged man with suspected kidney stones was sweating on his forehead. He leaned back with one hand and apologized with twitching corners of his mouth.

"Do you want to have an MRI? After the orthopedic department has seen it, I will take a post-reduction X-ray for you. You can go to Photo No. 209 on the second floor, and then go directly to the orthopedics department and let them decide whether to take an MRI."

"Go and take photos first. The doctors over there will give you the corresponding opinions!" After scanning the white coat of the emergency department, he didn't understand clearly, so he simply followed Xiang Zhongshu's request and gave Xiang Lunwu's diagnosis and treatment card.

A doctor ordered an X-ray of the shoulder joint.

"Okay, okay," Xiang Zhongshu said hurriedly.

After quickly taking the medical card and medical record, I squeezed out of the queue.

"It's really troublesome to go to the county hospital to see a doctor." Xiang Zhongshu looked at the people queuing up with different expressions, some were wrapped in gauze, some were frowning, and some were using crutches...

Although Xuanxian People's Hospital is not large in scale and is not a top-tier hospital, it and the Hospital of Traditional Chinese Medicine are the top hospitals at the county level in the county, with a lot of patients.

At this moment, Xiang Lunwu's symptoms had been completely relieved. He didn't reply and took his medical card to pay at the self-service payment machine.

After going around seven times and eight times, I took a plain X-ray. After searching for more than ten minutes, I came to the orthopedics department in the first ward of the orthopedics department.

The second ward of orthopedics is spine surgery.

The emergency department does not have an emergency specialty outpatient clinic for orthopedics, and the general outpatient clinic for orthopedics does not accept emergency patients!

When the two arrived at the relatively modern-looking 7-shaped nurse station, the nurse on duty was not surprised. The older nurse just walked out of the dispensing room, holding a bottle of water in her hand, and asked: "Are you here for the emergency?"

"Ang, I just finished taking the picture, and the doctor below said there is no need to take the film." Xiang Lunwu nodded, but still rubbed the affected limb with his hand. He didn't feel any pain, but he still felt guilty.

As soon as Xiang Lunwu finished speaking, the nurse began to roar like a lion: "Doctor on duty!~~"

"Doctor on duty, we're here for the emergency room. Come and take a look." After yelling, she ran away to the far side of the ward.

Both Xiang Lunwu and Xiang Zhongshu were shaken by the sound and leaned back slightly, feeling too aggressive.

But soon, a tall, thin, middle-aged man who looked to be in his forties and half Mediterranean hurried in from the doctor's office.

The white coat is unbuttoned, and the short-sleeved shirt underneath is leaking out. He has a thin figure and no belly.

He is the same height as Xiang Lunwu, but in front of Xiang Lunwu, he looks like a child.

Xiang Lunwu was wearing a sling for his forearm. He could tell at a glance that it was the source of the disease. He looked up and down and said in a guilty voice, "Are you dislocating your shoulder joint?"

As the saying goes, an arm can't twist a thigh, but for Xiang Renwu's size, it's not even sure if his thigh can twist his arm.

Shoulder joint dislocation of this magnitude is an extremely doctor-consuming case in orthopedics.

"Well, it's a dislocation of the shoulder joint. I saw it at the town hospital before. I was a little worried, so I came to check again. The doctor there is not sure whether there are other injuries." Xiang Lunwu replied.

"Hello, Dr. Luo." Xiang Zhongshu wanted to secretly send a pack of 40 Yellow Crane Tower to Lowe who was on duty.

Luo Wei was reading the printed film Xiang Lunwu brought, and took a few steps back: "I don't smoke, thank you."

After reading it, I probably had some concerns in my mind, and then I opened Xiang Lunwu's medical records. At first glance, my brows suddenly jumped -

"He was admitted to the hospital due to left shoulder joint pain and limited movement for half an hour due to trauma in a car accident. The patient reported that he was accidentally knocked down by a tricycle half an hour ago and his left shoulder landed on the ground. He immediately felt pain in the left shoulder joint, unable to move, and accompanied by swelling."

"No symptoms such as numbness or traumatic bleeding."

"Physical examination: left shoulder joint swelling, square shoulder deformity, ecchymosis visible on the outside of the left shoulder, about 3*4cm in size, obvious swelling. The affected area is tender to touch, and the shoulder glenoid fossa can be palpated."

"Active activities were obviously limited, and passive activities were not checked due to pain. Distal limb activities were normal, and extremity sensation and peripheral blood supply were normal."

Up to this point, the case was quite satisfactory, but the follow-up made Luo Wei's eyelids continue to flicker:

"Apprehension test (+), Relocation test (+), Release test (+)."

These three words were not sloppy in English. It should be said that the writing in the entire case was not sloppy. I could understand what the letters were, but as for what they meant, Luo Wei was confused.

"The X-ray shows (no report on the film): the humeral head moves forward and loses contact with the articular surface of the scapula. The scapula tilts backward, the dorsal side descends, and the angle between the scapula and the acromion increases. The articular surface is dislocated."

"There were no obvious signs of fracture, no obvious Bankart signs, and no obvious Hill-sach injuries."

"Preliminary diagnosis: mild injury due to anterior dislocation of shoulder joint (the possibility of moderate to severe injury cannot be ruled out)"

"Treatment suggestions: 1. Manual reduction of shoulder joint dislocation to relieve symptoms."

"2. Further improve the MRI examination to check for soft tissue injuries such as the rotator cuff and shoulder joint capsule. Check for bankart and hillsach injuries."

"3. Review the plain radiograph after manual reduction, and continue to temporarily fix the shoulder joint with a forearm sling. Remove it in due course."

"4. Follow-up consultation for discomfort."

"Wu Xie. October 7th."

"The patient requested to be transferred to a higher-level hospital for treatment."

After Luo Wei read it, his brows suddenly furrowed!

Was this medical record really written by Wu Xie?

Then the new guy in the department must have lost the relationship between the director and the dean, so he pushed Wu Xie away and replaced him?

Lowe's thoughts messed up the point difference, but he immediately returned to his original position.

A layman watches the fun, an expert watches the door.

This medical record is definitely a high-quality medical record. If Wu Xie can write to such a level, his basic skills are definitely not that bad!

The physical examination was very professional and the diagnosis was detailed to the last degree.

He raised his head and asked, "Didn't you all undergo reset? Why are you still thinking of coming here?"

"How do you feel now?" Luo Wei asked Xiang Lunwu after reading the medical records.

Xiang Lunwu hurriedly apologized and smiled, his face thickening: "No, I'm afraid that the doctors in the town won't be able to see it so carefully, so I thought it would be more reassuring to come to the county."

"The symptoms are okay and I don't feel much pain now."

"What about activities? You try to lift it yourself?" Luo Wei thinks Xiang Lunwu is very strange. Your symptoms have been relieved. If active activities have resumed, then why are you still here?

Are you really just here to check for rotator cuff injuries?

Luo Wei asked while giving a demonstration to Xiang Lunwu.

Rotator cuff injuries can be treated after all your swelling has gone away!

Xiang Lunwu tried to use his right hand to assist, and he really did it, and he suddenly turned his left hand horizontally to the top of his head.

"It seems okay, it hurts a little." Xiang Lunwu slowly put it down and blinked.

Seeing this, Luo Wei closed the medical record and said, "You guys have some time to spare. Your pain has eased and your range of motion has recovered. This means that the dislocation has been resolved."

"You can observe it for a while. If you still feel uncomfortable, come back for a checkup."

"The review film wasn't taken down here, but was taken in our hospital?" Luo Wei was relieved. Wu Xie had already taken care of this big guy, so he didn't have to work hard.

Wu Xie was able to deal with such a disease, recover on his own, and write such excellent medical records. I don’t know how he was ‘transferred’ to the town.

Also, I heard that the infected patient who was hospitalized last month was diagnosed as terminal by the Prefectural People's Hospital, and was finally taken to the county hospital by Wu Xie for a debridement.

Luo Wei and Wu Xie were not in the same team before. Wu Xie was following the director. I don’t know what the director is up to.

I don’t even know what kind of ghost the director drove away!
Chapter completed!