After lunch, Li Zheng returned to the emergency room and was about to go to the ward to look at his cousin's films.
Director Tang hurried over, looking slightly anxious. He raised his hand to stop Li Zheng and said, "There's a patient in the treatment room with a dislocated shoulder. The doctor on duty doesn't know how to treat him, and the patient can't wait any longer. We've asked Dr. Bao Youshan from the surgery department for a consultation. Dr. Bao is currently performing a manual reduction. You should go and take a look. It seems the reduction is difficult."
Li Zheng nodded slightly and walked towards the treatment room with Chen Dayong.
"Oh, doctor, I can't stand it anymore. This is the fifth time. Why don't we just not do the surgery?"
On the treatment bed, a sturdy man was lying, his face twisted in pain and covered in sweat.
Beside the treatment bed, the tall and thin Bao Youshan was putting one foot on the man's right armpit, holding the man's right wrist with both hands, and struggling to pull the entire arm, trying to put the shoulder joint back in place.
Bao Youshan must have run out of strength. His body was shaking when he was exerting force.
After pulling for a while, Bao Youshan loosened his arm, took a few deep breaths, and said, "No... No, your muscles are too strong, and you're too tense. You just won't relax. I can't pull my shoulder apart at all. There's no other way. I can only go into the operating room and get anesthesia before I can go back in!"
Bao Youshan signaled to the doctor on duty, who turned around and prepared to go out to make arrangements when he saw Li Zheng standing at the door.
"Doctor Li, you're back! This patient has a dislocated shoulder. Doctor Bao tried several times, but it was difficult to reposition it." The doctor on duty walked out of the treatment room and quickly reported the situation outside the door.
Li Zheng nodded and said calmly, "Let me watch the film first."
The doctor on duty quickly handed over the film.
Li Zheng picked up the film, shook it, looked at it carefully, and nodded, "It's a typical anterior dislocation. Let me try it!"
Bao Youshan also came out, wiped the sweat from his forehead, and said with a hint of disdain on his face, "Li Zheng, shoulder reduction requires skill and strength. Are you sure you want to try?"
Bao Youshan is the attending physician of the orthopedic surgery group. His relationship with Li Zheng is average because when Li Zheng was in the surgery department, he was mainly engaged in general surgery and had few interactions with him, so on the surface they could still maintain an ordinary relationship. The doctors in the surgery department who were engaged in general surgery had long drawn a clear line with Li Zheng and did not want to have anything to do with him.
Li Zheng knew what Bao Youshan meant. He, an orthopedic surgeon, couldn't even handle it, so why were you, a general surgeon, pretending to be so smart?
"Shoulder joint reduction requires skill first. Brute force won't work. Once you have the skill, you don't need much strength at all!" Li Zheng responded calmly and prepared to go in.
When Bao Youshan heard this, he was furious.
Li Zheng said that he doesn't know any skills and can only act recklessly!
"Li Zheng, the patient can't bear it anymore. If you force the reduction, it may cause secondary damage! I will not be responsible if anything happens!" Bao Youshan sneered.
Chen Dayong, standing by, had already grown impatient. He glared at him and said, "If you're not good enough, stop talking nonsense. Just watch from the side. Not everyone is as bad as you!"
"You!" Bao Youshan knew Chen Dayong, but not very well. He snorted coldly, "You think you're so great? You're just a idiot from the Municipal Hospital. What right do you have to criticize me?"
"Say it again!" Chen Dayong's face turned cold.
Bao Youshan refused to give in. What else could he do in this county hospital? So he said in a provocative tone, "You idiot from the municipal hospital, what do you want?"
Chen Dayong laughed and said, "No matter how stupid I am, I am still better than a loser like you!"
Bao Youshan felt his chest tighten. He was expecting Chen Dayong to use violence, but why did he resort to verbal attacks?
"Dayong, come in!"
Li Zheng had already arrived at the patient's side. Chen Dayong sneered at Bao Youshan and hurried into the treatment room.
When the big man saw Li Zheng, a trace of fear flashed in his eyes. He quickly hugged his arms and begged in a sobbing voice: "Doctor, give me anesthesia, I really can't bear it!"
Li Zheng's face looked unhappy. It was not because the big man was timid, but because Bao Youshan had tried too many times, causing psychological trauma to the patient.
Li Zheng quickly put on a gentle expression and said, "Don't worry, my technique is very gentle and I won't force it back in place. I guarantee it won't hurt that much!"
A middle-aged woman next to the big man frowned and said coldly, "You're younger than that doctor. How can you be any better? Hurry up and call someone to give him anesthesia! Look how much pain he's in! You can't be held responsible if he gets hurt!"
Li Zheng shook his head and said, "You can use anesthesia to reduce the pain, but you have to go through the hospitalization procedures and go to the operating room. Once you're in the operating room, the cost will be more than a dozen yuan, at least one or two hundred yuan!"
The middle-aged woman's expression changed instantly when she heard this. She glanced at the man, her tone softened, and she said, "Well, Lao Zhou, just be patient. Maybe this doctor is really capable and can make you better in no time!"
When the man heard that it would cost so much money, his heart tightened. He gritted his teeth and said, "Come on, doctor, I believe you!"
After saying that, the man closed his eyes and let go of his arms.
"Come, sit up!" Li Zheng stretched out his hand and pulled the man up steadily.
Everyone looked at Li Zheng with confusion, not understanding what he was going to do.
"Dayong, bring a chair over here."
The doctor on duty moved even faster and immediately brought over a slightly worn wooden chair.
Li Zheng asked the man to sit on the chair.
The man's right shoulder joint was elastically fixed in the abducted position. Li Zheng touched the glenoid cavity, which was empty, and the humeral head could be felt under the clavicle.
The symptoms are typical.
Li Zheng squatted down, held the wrist of the affected limb with his right hand, reached into the patient's armpit with his left hand and grasped the humeral head, while rotating the arm and grasping the humeral head upwards.
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