medical simulator

Du Yanjun himself doesn't know much about dislocation patients, so he naturally can't decide by himself whether to be hospitalized or not.

Zhou Cheng said: "Don't rush to talk about the hospitalization, I'll take a look at the baby's film and give him a detailed physical examination."

Although Du Yanjun said that he had completed the physical examination, Zhou Cheng decided to do it again himself to avoid any accidents.

Because of some special joint surgery examinations, even Cai Dongfan and the others don't know, let alone Du Yanjun.

Industry specializing in surgery.

The child's father looked at Zhou Cheng and frowned slightly.

Du Yanjun immediately explained to the patient's family: "This is Dr. Zhou from our department. Basically, he is responsible for and handles the patients with joint dislocation."

The patient was a little surprised when he heard this. Zhou Cheng didn't look very old, but since he was a professional in dealing with such patients, he was probably more professional than Du Yanjun.

Just still too young.

But he whispered in his mouth: "The director of your department, can't I trouble you to come and see my child?"

The child's father was wearing a shirt and jeans, his face was quite refined, and his speech was more polite.

Zhou Chengcheng said: "It's lunch time now, and the directors have already gone to eat after get off work. If our lower-level doctors can't handle the patients, we can only bother you. Please understand."

An old man behind the middle-aged man then said: "It's past twelve o'clock, which happens to be lunch time, so let this doctor take a look first."

Zhou Cheng immediately went over to the child and winked at him to show his kindness.But when the child saw his white coat, he immediately pursed his lips and began to cry. Maybe in the child's world, the white coat is the code name for him to suffer so much pain.

The child's mother hugged him gently, and said to Zhou Cheng: "Doctor, I will watch over the child. Please be gentle when you check."

"En!" Zhou Cheng could only nod.

Then I started to do the examination. When I first met the child, the child kept struggling and cried so much that he felt aggrieved.

However, when Zhou Cheng found out that there was no pain at all during the examination, he slowly stopped crying and struggling. He only sobbed occasionally, pursed his mouth, and put on a look that if you dare to give me an injection, I will give you an injection at any time. The expression of wanting to cry comes out.

After Zhou Cheng completed the physical examination related to shoulder dislocation, and then watched the film, his heart skipped a beat.

No need to think about it, according to the existing physical examination or film, one thing is very certain, that is, the child's shoulder joint dislocation is inevitable.

And his pain function is also normal.

Then this is not normal!

The child's father saw that Zhou Cheng had finished the examination in a circle, but his brows were tightly frowned, and he didn't say a word, but he didn't almost die of panic, so he quickly lowered his voice and asked, "Doctor, how is my son?"

The others looked at him nervously with wide eyes.

But Zhou Cheng said, "Let's go to the office to talk in detail. You leave one or two people to look after the children, and the others come with me. Those who usually take care of more children, it's best to come to the office as well."

"The main reason is that the grandma and grandma of the child and I brought a lot of them. Dad, Dad, you two should look after the child. The four of us will follow the doctor." The child's mother hurriedly said.

The two old men immediately felt that they were rejected, but looking at their grandson's shoulder, they also nodded and said nothing more.

Zhou Cheng brought the child's parents and grandma to the office.

The child's father anxiously asked: "Doctor Zhou, what's the situation with my child, just tell me, I'm worried and scared."

Zhou Cheng said: "Just now I did a physical examination for your child, and found that the shoulder joint is palpable and empty, and the humeral head can be clearly touched, which is a sign of fear (+)."

"What does this mean?" The child's father was dumbfounded. Of course he didn't understand such a professional term, so he immediately interrupted, and he seemed to be impatient.

"That is to say, the child must have dislocated the joint."

After Zhou Cheng finished speaking, he immediately changed the subject: "But the child didn't cry or fuss, that is to say, he couldn't feel the pain here."

"Joint dislocation is very painful, even adults may not be able to bear it."

The faces of the child's family members suddenly changed slightly.

It seemed to be the case. On the way when they brought the baby, they cried except when they saw Du Yanjun, but they didn't cry at other times. They even praised their baby for being obedient and sensible.

Unexpectedly, this point has now become the biggest doubt.

"So I would like to ask, has the child had any other diseases before, or had any particularly strange behaviors?"

When the child's mother heard Zhou Cheng's words, she frowned tightly at that time: "Doctor, I remember when you said that. It seems that I have also found that the child has such a few times before, that is, the shoulders don't look normal. when."

"And not too willing to move."

"But after a while, when my child was playing by himself, his shoulders returned to normal, and I thought nothing was wrong."

"Is this a big problem?" She asked quickly, and blamed herself a little.

The child's father glanced at her, and she lowered her head slightly.

The grandma and grandma behind them showed unnatural expressions.

Hearing the child's mother's words, Zhou Cheng had basically determined the child's problem, and he was closer to the diagnosis he had considered in his heart.

According to the definition of orthopedics, joint dislocation is very painful, but there are also very special cases.

That is recurrent joint dislocation, or habitual joint dislocation. For such patients, when dislocation occurs, there will be no special pain, and there may even be no pain.

Even more violently, patients with habitual joint dislocations can recover their dislocations after their own dislocations——

However, this kind of fierceness and awesomeness is not a good thing.

"When does it usually happen? Has he been injured today?" Zhou Cheng continued to ask, but he still didn't tell the guess in his heart, and he had to confirm it before speaking.

Du Yanjun looked like he was listening to heaven, but he also stood aside and listened carefully.

It seems that the books I brushed by myself are useless at this time.

I secretly regretted it, why didn't I read those books earlier?

Glancing at Zhou Cheng, he found that Zhou Cheng's brows had already been relaxed, probably because he had made up his mind.

Then there was a gap that was not very pleasant——

The gap between myself and Zhou Cheng is probably getting farther and farther.

"No injury, no injury."

"Today I took my child to camp near Songya Lake, and then he took a nap halfway, and it became what it is now."

"In the past, I woke up after sleeping, and it became like this."

"It will be fine in a while, even today, such a special shape has never recovered."

"Is it important? Will it affect his handwriting in the future?"

"He's still so young, so what if it happens in the future. Doctor, you must find a way for me." The child's mother begged and looked at Zhou Cheng.

Zhou Cheng said comfortingly, "Don't worry."

"According to your medical history and my physical examination and photos, your child's condition is a habitual dislocation of the shoulder joint. It is also called recurrent dislocation."

"Because only this kind of dislocation does not cause pain at ordinary times."

"Besides, the child is still very young, and his ligaments and bones are very plastic, so it happens more often, and he may not feel pain at all."

When the child's father heard this, he immediately asked: "Then is this recurrent dislocation hard to treat? Can surgery solve the problem?"

Zhou Cheng shook his head and nodded again: "The dislocation itself is not difficult to treat, but it is difficult to find out why the dislocation occurs and treat the cause."

"I'll ask you another question here, don't have any thoughts in your mind."

"Does your child have epilepsy?"

The child's grandma immediately raised her head and cursed: "You have epilepsy. You are going crazy~"

"Can you read it? If you can't, call your director if you don't know how to read it."

Epilepsy can be called epilepsy or epilepsy.

This is a disease that is quite dreaded by the people. Once this disease is discovered, it will be carried for a lifetime.

The faces of the child's parents also became uneasy, looking at Zhou Cheng.

The middle-aged man said: "Doctor, isn't my son's joint problem? Why did he suddenly bring up epilepsy?"

The child's grandmother immediately said, "Why are you asking so many questions? How could my Qiqi have epilepsy? You also have problems with your brain, right?"

"If you don't know how to read, call your director over." The child's grandmother poked her son directly, and then cursed at Zhou Cheng.

"You have epilepsy, you have epilepsy, and your brain is abnormal."

Zhou Cheng took a step back, his expression changed slightly, and he said, "I'm just explaining the possible cause of the disease to you based on my professional knowledge. You don't have to believe me, but don't attack me personally."

"If you think I've read it wrong, or can't read it."

"You can ask our director to see it. Or wait for our director to come to the department and then go to the director to see it. How can this be a curse?"

Li Mengxiang scolded immediately: "How did you talk?"

"What's wrong with scolding you? What are you talking about?"

"I came to the orthopedics department and you said my grandson had epilepsy. Are you a doctor?"

"Will you see a doctor?"

"Quack doctor, you!"

"Mom, calm down. This is a hospital." The middle-aged man pulled the child's grandmother.

His wife and his mother-in-law didn't move at all, and they looked at Zhou Cheng with unnatural expressions.

"He was the one who cursed my grandson first!" Li Mengxiang pointed at Zhou Cheng with widened eyes.

"That's your son too, he said your son's head."

Speaking of this, I can't go on.

Muttering: "I scold him lightly."

Seeing that he couldn't persuade his mother, the middle-aged man apologized to Zhou Cheng: "I'm sorry, Dr. Zhou, my mother is mainly worried about the child's problems, but she didn't mean to offend you."

"Why are you talking so much? He is not professional at all, so let's not read it. Go to the Affiliated Hospital of Shonan University or the Second Affiliated Hospital. The Second County Hospital is much better than this."

"These eight hospitals are full of ghosts and monsters. I've already said it. Don't watch it here. You still don't believe it."

"Look at the doctors here, what kind of quality each one is. They are young, and they start to chew their tongues before they have learned their skills." The child's grandma dragged her son out cursing.

The child's mother and grandmother seemed to think that Zhou Cheng was a bit too much, so they also quit the office.

The corners of Zhou Cheng's mouth twitched for a while, but he couldn't say anything.

Doctors don't knock on doors.

However, due to the obligation of a doctor, he followed out, then found the father of the child, and confessed: "You can choose to go to other hospitals, but you must go to see it."

The Affiliated Hospital of Shonan University is of a higher level than the No. [-] Hospital, so it is impossible for them to say that family members are not allowed to visit.

Moreover, Zhou Cheng thought to himself that he was polite from the beginning to the end.

It may just be that the word epilepsy is too irritating to ordinary people.

But no way.

There are only a few causes of habitual joint dislocations.

The first one is structural problems, loss of ligament function or laxity of ligaments, resulting in unstable joint structure.

Second, repeated trauma.

The third one is epilepsy.

He just had a physical examination, and the child has no congenital ligament laxity.

So it's not going to be a structural problem.

And a two- or three-year-old child like this, who has just learned to walk, cannot be habitually dislocated due to repeated trauma!

In addition, the possibility of relaxation caused by long-term muscle and ligament stimulation caused by epilepsy is very high.

If it is not, then it is only possible that this family is abusing the child and playing him out of nothing.

And only one of the causes was mentioned, so they did.

"Okay, thank you doctor."

"My mother." The child's father wanted to say something more after hearing Zhou Cheng's words, but his mother called him away.

Then Zhou Cheng and Du Yanjun were left behind, looking at each other.

After the patient and family members had left, Du Yanjun asked Zhou Cheng in a low voice: "Brother Zhou Cheng, does epilepsy also cause habitual joint dislocation?"

"Well. One of the reasons."