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Chapter 37

It’s a waste of time (an additional chapter)

Author: Jiangdi Youbai

It’s a waste of time (an additional chapter)

After reading the film in the doctor's office, Luo Wei turned around and started buttoning up his white coat. His tone was calm: "Uncle, you should sit down too."

"Why do you think you are going to the county after the reduction? I think the reduction was done very well. Now the humeral head is in place, the pain is relieved, and the range of motion is restored."

"Is it Dr. Wu who called you here?" Luo Wei was just curious.

Qin Dahe had to be transferred from Shazhen to the county hospital because he wanted surgery. The town hospital couldn't handle it and didn't dare to do it. After all, even the prefectural people's hospital was unwilling to do it.

But Xiang Lunwu’s purpose seems to require some attention.

He was also afraid of causing trouble to his colleagues at the town hospital, so he struck preemptively.

Naturally, Luo Wei didn't know the relationship between Xiang Lunwu and Wu Xie. When asked this question, Xiang Lunwu seemed quite embarrassed, and his eyes quickly turned, seeking the answer.

Xiang Zhongshu just smiled and said: "Dr. Luo, it's not Dr. Wu who called me, it's because we are worried. The main reason is that some time ago, there was a shoulder joint dislocation in our town, and he later had some kind of rotator cuff surgery."

"We were afraid that it would be a similar situation, so we decided to come up and do a more comprehensive inspection and troubleshooting. We would do it as early as possible to avoid delays."

Luo Wei kept staring at Zhong Shu when he was talking to him. He didn't notice that Xiang Zhong Shu asked whether he had been misdiagnosed and mistreated, so he was relieved: "Rotator cuff injury is indeed one of the complications of shoulder joint dislocation."

"But not all shoulder joint dislocations require this examination. An MRI is also quite expensive. If you don't have symptoms, we won't do the examination."

"If you have symptoms again after recovery, the next check-up will be the same. Even if the rotator cuff is torn, the second-stage surgery will not affect the curative effect."

"There is no need to spend all your money at once and waste your money."

After speaking, Luo Wei quickly explained: "I'm not advising you not to do it. In fact, if you have to do it, for me it is a matter of conducting an inspection. If you do it, you will have to pay for it yourself."

"Oh, you had a car accident, so you can do it now to avoid subsequent trouble."

Luo Wei quickly explained, fearing that Xiang Zhongshu and Xiang Lunwu would misunderstand that he was with the driver who caused the accident, which would cause him to be embarrassed.

Xiang Zhongshu and Xiang Lunwu were said to be just laughing.

"..."

There is no need to make an appointment and queue up for the MRI at the county hospital. After Luo Wei gave Xiang Lunwu the examination, it was completed in just half an hour.

When he returned to the orthopedics department again, Luo Wei read the films in advance and said, "After you finished the MRI, I looked at the films here. I also showed them to our director. It's nothing serious. There is only edema in the rotator cuff."

of damage.”

"There is no need to follow up. You can go back and observe first. Our director will see it personally." When Luo Wei said this, he sighed slightly.

It seemed that it was not worth the trip just for Xiang Zhongshu and Xiang Lunwu.

While Xiang Zhongshu and Xiang Lunwu were going downstairs to do the MRI, he used his mobile phone to check the tests written by Wu Xie, and suddenly felt a somewhat scary feeling.

too professional--

After checking, I realized that this was a set of tests to diagnose anterior dislocation of the shoulder joint.

What is a set of examinations? It means one step after another to continuously consolidate the diagnostic examination model!

Shoulder joint Apprehension test (fear test): Let the patient lie on his back, extend his arm to the side, and bend the elbow joint at 90 degrees. The doctor places his palm on the patient's shoulder, and then uses the other hand to pull the patient's arm forward and rotate it while observing the patient.

Do you experience fear and shoulder discomfort?

If there are signs of anterior shoulder dislocation, it can be diagnosed as anterior shoulder dislocation.

Relocation test: For patients with positive Apprehension test, further Relocation test is needed to confirm the diagnosis. Based on the Apprehension test, the doctor gently pulls the patient's arm backwards, and then observes whether the patient develops shoulder pain and fear.

If symptoms are relieved, the diagnosis of anterior shoulder dislocation can be confirmed.

Release test: For patients with a positive Relocation test, a Release test is required. On the basis of the Relocation test, the doctor will remove the hand pulling the arm backward and observe whether the patient reappears symptoms of shoulder discomfort and anterior dislocation. If the shoulder

If local symptoms reappear, it can be diagnosed as anterior shoulder dislocation...

These are from Luo Weicha.

And these were written by Wu Xie. When Wu Xie wrote this, he definitely couldn't have checked Baidu or other information in front of him to write it?

What's more, there are many tests for shoulder dislocation depending on the type. The above is basically only for anterior dislocation——

As for the rest of the inspections, Wu Xie did not bother with any of them.

After learning this, Luo Wei quickly stared at Xiang Longwu's MRI results, and then sent them to the director for review as soon as Xiang Longwu's MRI results appeared in the reading system.

Otherwise, communication between peers must be professional and cautious!

Otherwise, when Xiang Lunwu returns and perhaps replies to Wu Xie, there will still be things I haven't understood yet, and that will be embarrassing.

Rotator cuff injuries and MRI scans of shoulder joints are within the scope of orthopedics, but they are a very specialized area within the subspecialty of orthopedic sports medicine. At present, the entire department of orthopedics, that is, the director of orthopedics and the director of spine surgery, have some knowledge.

Ordinary lower-level doctors would just look at the edema and be done with it.

Luo Wei did not mention that the doctor was Wu Xie, just because he was afraid that the director would be difficult to do, but he also said that the doctor was very professional, so he hid Wu Xie's name on the medical record page and took a photo of it for the director to see.

The director also responded immediately...

"Thank you, Doctor Luo."

"It's okay!"

"I'm just curious, Dr. Wu from your town hospital, he should be quite famous there..." Luo Wei started to gossip.

Xiang Zhong Shu nodded hurriedly. Although he didn't trust his nephew, he couldn't slander him: "Fortunately, I heard he is quite professional..."

Xiang Zhongshu and Xiang Lunwu felt relieved. When they walked out of the hospital again, it was already six or seven in the afternoon.

At this point, there are no buses back to town.

Fortunately, Xiang Zhongshu's third brother bought a house in the county town, so he didn't have to live in a hotel.

It was not close to the hospital, so they planned to walk there.

On the way, Xiang Lunwu looked at his father a little suspiciously: "Dad, didn't you tell me that Xiao Xia had forgotten his personality before?"

"I usually work as a traffic policeman, and I pay close attention to people's expressions. I saw that the doctor in the emergency department and Dr. Luo in the orthopedics department changed their expressions when they saw the medical records."

"I don't know if I recognized the little crab's name or something else, but I think there are more other aspects."

At this moment, Xiang Zhongshu took out the lighter and Yunyan and lit one.

He couldn't get used to smoking Yellow Crane Tower. Under the smoke, he decided to Zhong Shu: "Go to your aunt tomorrow to buy some things."

"Yes." Xiang Lunwu nodded in agreement with a solemn expression.

He felt that it was time for him to get to know his old cousin again. If he had trusted him earlier, there wouldn't have been such a futile effort.

Although you don’t have to pay for it yourself, you have to bear the burden of the trouble.

After a while, Xiang Zhongshu's phone rang, and the caller ID said it was Xiang Mei...

Seeing this, Xiang Lunwu slightly turned half of his body.

ps: Thank you to book friend 20210301106460054746 for the reward and becoming the first disciple of this book! It was a waste of money.

Let’s count the votes. Free recommendation votes and monthly passes are acceptable. Rewards are also acceptable, and Xiao Jiang can accept them shamelessly...
Chapter completed!
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