medical simulator

Page 102



People do not want to dismantle it. The level of the Eighth Hospital may be limited, but they have tried their best. Dismantling other people's platforms is not something that colleagues should do.It's not called personnel.

"I know Dr. Li."

Li Mengxiang nodded immediately: "You don't know how much those doctors in the Eighth Hospital said too much."

"You obviously don't understand anything, and you still talk nonsense."

"It's obviously an orthopedic problem. We laymen know it's an orthopedic problem. They insist on neurological problems, what about epilepsy?"

"Are you speaking human language?"

"I think he has epilepsy."

"Like a lunatic." Li Mengxiang said with an expression that finally calmed down in her heart, so she opened up and said.

After the stone in his heart fell to the ground, he only took it as a joke to complain to Li Yong about the nonsense things that the little doctors in No. [-] Hospital were saying when their medical skills were not good.

"You said?" When Li Mengxiang said this, Li Yong's face changed drastically.

This expression frightened Li Mengxiang.

He does not mean that.

Li Yong frowned at that time, and when he was about to walk out the door, he turned around again, trembling in his heart, he couldn't speak fluently, and asked: "You, you, your child, do you often fall down?"

"Then how can it be?" Li Mengxiang replied without thinking.

"Me and his grandma, his mother basically stayed around 24 hours a day, and never fell down!"

"There was no injury this time, I don't know."

Sure enough, after hearing this, Li Yong's expression suddenly changed again, and fine sweat kept coming out of his forehead.

Sweat filled the palms of the hands.

The hands curled up and stretched out, and in the end, he could only bite the bullet and say: "Then your child really can't do manual repositioning now, we have to do an EMG for him, and check for epilepsy before we talk about it!"

Li Mengxiang froze there immediately, turned her head looking left and right, and found that the family members around her were all stunned.

He opened and closed his mouth for a while, looking at Li Yong's expression.

Li Yong moistened his lips with his tongue, and then said: "It's better to be on the safe side, you must do a nerve electromyography first. You don't want me to reset your child rashly, and then the reason is still there." Find it out?"

"Ah~ this~?" Li Mengxiang was at a loss for words.

This is the Affiliated Hospital of Shonan University.

……

Nerve electromyography cannot be done in an emergency department.However, Li Yong personally took the child to the rehabilitation department opposite the third orthopedic ward, so he was able to work overtime.

At this moment, Li Yong was extremely disturbed.

From the beginning, he only thought that the child wrestled too many times, and the family didn't pay attention, because most of the recurrent joint dislocations were like this.So he didn't ask much at all.

He has seen at least hundreds of patients with recurrent joint dislocation.

This is almost always the case, and today he stepped down to run the emergency consultation, and there are really many calls on the emergency department.So empirically, he ignores such special cases.

15 minutes later.

The results of the EMG came out.

At that time, Li Yong said to Liu Suolong in a complicated manner, "Mr. Liu, I'm sorry!"

"Your child really has paroxysmal epilepsy."

"In this case, you have to go to the neurology department for hospitalization."

Liu Qiqi's grandma, Li Mengxiang, couldn't accept it even more, she kept shaking her head and murmured, "Impossible!"

"impossible."

"It's impossible for Qiqi in my family to have epilepsy, and it's impossible for her to have epilepsy."

Although Liu Dashan and the others also had a sudden change of face, which was hard to accept, they were not as big as Li Mengxiang's reaction.

Zhu Qingqing looked at Li Yong with a complicated expression: "Dr. Li, didn't you say that before?"

Li Yong took a deep breath and said, "Ah~ this~?"

After speaking, he changed the subject slightly: "It was my problem before."

"But we still have to respect the facts. This is not a matter of saying nothing. Now that epilepsy has been detected, we have to figure out how to treat it."

"Although epilepsy is terrible and cannot be cured, it can be controlled. Once controlled, it is no different from normal people."

"Since something has happened, we must find a way to solve it."

"Whether you say it or not, it exists. Early detection and early treatment."

"Manipulation reset still has to be done, and it can be done, but the weeds must be eliminated, and the disease must be cured."

Li Yong didn't have much confidence when he said this.

If it wasn't for Li Mengxiang's extra words, he might be in trouble today.

The cold sweat was still pouring out from behind.

"..."

Chapter 115 Who Is Crazy?What's driving me crazy?

Ultimately, in order to avoid too much trouble and disputes.

Li Yong called an associate professor in the department to the department, and personally explained today's incident to Liu Suolong's family.

After explaining the matter, he also personally performed Liu Qiqi's hand reset and forearm sling operation.

Then he personally arranged for someone from the Department of Neurology to come for a consultation, and immediately arranged for Liu Qiqi to be hospitalized in an extra bed in the Department of Neurology.

After doing all this, Liu Suolong's family left the orthopedics department with a heavy heart, and went to the neurology department to be hospitalized.

……

Seven forty-five.

In the doctor's lounge of the Affiliated Hospital of Shonan University, Li Yong drooped his head and looked at Associate Professor Zuo Hu.He glanced at the graduate student who was on duty next to him.

The graduate student immediately understood: "Mr. Zuo, Mr. Li, I just found out that I forgot to write the medical records. I'm going out first."

After finishing speaking, he slipped away, but in fact he wrote it.

Just sensible.

Li Yong held his throat and apologized: "Miss Zuo, I'm sorry, I caused you to go to the department again."

Zuo Hu's complexion didn't fluctuate much at the moment, but after a slight sigh of emotion, he looked at Li Yong's expression of admitting his mistake, and then explained:

"It's no wonder you, after all, you are also inexperienced."

"Instances of habitual dislocation of the shoulder joint due to epilepsy are actually very, very rare in a situation like today."

Speaking of this, Zuo Hu's tone changed:

"Usually, the most common cases in our clinical practice are young people in their teens and twenties, and girls are common among them."

"It's just that we are engaged in clinical practice. Sometimes after mastering some professional knowledge, we need to learn to ponder more. Some things may not be written in textbooks, but we have to speculate and figure out based on the facts—"

"What do you think, what are our common patients with habitual joint dislocation like?"

"There are only two types: structural problems and external stimuli."

"Refilling is—"

"One, ligamentous laxity as an underlying structural problem. Two, repeated trauma."

"Girls are more flexible than boys. Most of them like to dance and stretch their ligaments. This has the above two risk factors."

"But children's words."

"Look at this one today. He's only three years old. He doesn't have these two conditions. Although the child's ligaments may not be fully developed, right?"

"That's really one of the common factors."

"But today's children are all the treasures of the family, so how can they bump too much?"

"At this time, you have to be very cautious."

"Pediatrics belongs to the dumb department, you still have to think about it."

"Naturally, you have never encountered a case of habitual dislocation caused by an epileptic patient, and you can't blame it all. Just pay attention next time."

"And if you can think about it when you hear the word epilepsy, it proves that you have read a lot of books. Do you usually check the literature?"

Zuo Hu finally praised Li Yong.

Li Yong nodded heavily, and said with lingering fear: "When the chief is hospitalized, naturally he has to be more careful."

"But I still feel powerless."

"Teacher Zuo, I'm getting more and more scared now." Li Yong said with a sincere expression.

"And I always remember what you said, Mr. Zuo, patients and their families are sometimes easy to fool the past, but our own heart can't be fooled."

"Today's patient, although I can completely reset his joint dislocation, he will be sent out of the hospital."

"In the future, epilepsy and dislocation will happen later. Habitual dislocation has been admitted to the hospital many times. This is a very common example."

"Can?"

When Li Yong said this, he sighed and said, "You can't be a doctor like this."

"So I can only read more books, and try to find out the cause of the patient carefully when I can't deal with the patient."

"It's just that I lack thoughtfulness, and I can't keep up with the doctors in the Eighth Hospital."

Li Yong shook his head and laughed at himself.

This incident dealt a big blow to him. Logically speaking, the Affiliated Hospital of Shonan University should wipe the ass of the Eighth Hospital.

In the end, he was prompted by what Li Yong thought was a little doctor, but wiped his ass, which made Li Yong really embarrassed.

Zuo Hu stood up and patted Li Yong on the shoulder: "This is right, but it's wrong."

"We must not underestimate our colleagues in any other hospitals, but there is no need to belittle ourselves."

"Your foundation and growth curve are much higher than theirs. It's just that others have a little more knowledge than you."

"It's okay. The length of work is not the same."

Li Yong immediately shook his head, smiled wryly and said, "Teacher Zuo, the fact is not like this."

"If that's the case, I think it's all right."

"But I heard from the patient's family that both of them were young men in their twenties."

"Two!" Li Yong first gestured with his index finger and middle finger, and then turned into an ok gesture while saying:

"I three!"

Thinking about it this way made me even more depressed.

"The point is, I checked later—"

"Eight hospitals have not yet separated out joint surgery specialties."

"If my teacher knows about this, I'm afraid he will scold me to death." Li Yong continued to add.

Zuo Hu also scratched his head and said, "If you say so, I don't know what's going on."

"Maybe there is some powerful person lying down in the Eighth Hospital."

"But it doesn't make sense. Even postgraduates and doctors in joint surgery and sports medicine rarely come into contact with such cases. It's quite strange."

"I'm a little curious about who these two little doctors are."

"Li Yong, are you not on duty tomorrow?"

"I just happened to be invited by a director of the No. [-] Hospital to give a lecture. Come with me in the morning." Zuo Hu suddenly said.

When Zuo Hu said this, Li Yong was stunned: "Brother Hu, are you going to give lectures at the Eighth Hospital? What kind of class are you teaching?"

Zuo Huan is not much older than Li Yong. Li Yong just entered the department, and Zuo Huan is the attending doctor, so the relationship is very close.

Belongs to the kind, do something wrong and call Mr. Zuo, on weekdays it's just a relationship with Brother Hu!


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