In the emergency office, Director Zhang Ming looked at the film, and his brows furrowed tightly.

"The tibia was broken in three places, and it was broken in four directly.

"It's not easy for migrant workers.

Director Zhang sighed, put down the beat, and said to the Xi doctors.

Wang Xiaobei went to notify the operating room, and in addition, notified Director Liu of the Department of Orthopedics and asked him to come for consultation, the patient's fracture was more serious, and asked Director Liu to go to the operating table with me. "

Arrange for a nurse to do a routine blood test for the patient. "

The patient is young, has no other underlying diseases, has good brain CT results, does not need to do too many examinations, and can perform surgery with a blood routine.

Summer glanced at Director Zhang and asked cautiously.

"Director, what should I do about the operation?" Zhang

Ming picked up the water cup, took a sip of tea, and said to a group of Xi doctors slowly with the posture of a teacher.

"Although the patient's fracture was closed, the tibia was broken into four segments, and there was no way to treat it conservatively. "

It is necessary to do an open treatment and fix the fracture with a steel plate. "

This patient needs to be immobilized with three steel plates. "

Routine surgery for fractures.

A stainless steel plate is attached to the broken bone, the fracture heals, and a year later, another operation is performed to remove the steel plate, which can be regarded as a complete recovery.

The price of steel plates is also different.

Ordinary domestic steel plates, three or four thousand pieces a piece.

Imports cost twenty or thirty thousand.

Most patients are made in China.

The patient had three fractures, needed three steel plates, and 10,000 consumables alone.

In addition, a year later, another operation was required to remove the steel plate, causing secondary pain.

Recalling the images in my mind.

Summer looked at Zhang Ming and stopped talking.

Zhang Ming glanced at him and said with a smile: "What Xi's the matter?"

"

The scene of McDonald's saving people in the summer, Zhang Ming is still unforgettable, I used to like this young man, but now the more I look at it, the more pleasing it is.

The director spoke, and Summer was relieved to boldly say his thoughts.

"Director, the patient has a closed fracture, if the patient is reduced by manual reduction, the patient is put in a cast, so that there is no need for surgery, let alone a steel plate, which can not only reduce the cost, but also eliminate the need for a second operation to remove the steel plate. "

The time to recover from the plaster cast is about the same as that of the steel plate. "

The cast does not require an incision and will reduce the patient's suffering.

"So...... I wondered, can we use manual reduction treatment?" "

Manual reduction, as the name suggests, uses the broken bone to reconnect it with the manipulation.

To put it bluntly, it is to smooth out the broken bones.

The purpose of the two is the same, both are to let the bones be connected, and the broken bones will be slowly connected after being connected.

However, manual reduction, no steel plate, let alone a second operation, after reduction, a plaster cast is laid, and slowly recuperation.

Director Zhang smiled and said to Xia in a gentle tone.

"First of all, I would like to commend you for asking this question, which shows that you are really thinking and thinking about the patient from the bottom of your heart.

"However, the patient has three broken bones, and it is very difficult to reduce the broken bones manually.

"After Director Liu comes over for a while, I can tell Director Liu what you think, listen to what he means, Director Liu is an orthopedic expert, he has 20 years of clinical experience in orthopedics, if he can do manual reduction, of course, manual reduction is more beneficial to the patient."

Director Zhang had a pleasant face and a soft gaze.

Xia nodded after listening and thanked Director Zhang.

At this time, Wang Xiaobei came over and asked Zhang Ming with a smile.

"Director, the tumor patient yesterday, the oncology department said it was cancer, if it was cancer, he ......"

Before he could finish speaking, Director Zhang glared at him and scolded.

"The oncology patient has been handed over to the oncology department, you have to ask questions, go to the oncologist.

"Didn't see that I'm busy!!" "

In addition, you also graduated from graduate school, studied medicine for eight years, and when you encounter problems, you go to check the literature by yourself, don't run to ask everything, check the literature with your heart, so that you can have a solid impression, come to me to ask me for everything, I am not your old mother."

"Go, go, don't delay me from going to work." "

It's ......

Didn't you say, 'If you have a question, don't hesitate to ask?'

The same Xi doctors, why is there such a big gap.

Wang Xiaobei wanted to cry without tears.

I hugged the chubby one and sent a few ......

in distress

Ten minutes later, Fat Yang took back the blood routine report.

"Director, the blood routine is normal, the liver and kidney function are normal, there is no hepatitis B, no AIDS. "

It's time for surgery.

"Okay. Zhang Ming got up slowly, took a sip of tea, took off his white coat and prepared to walk towards the operating room.

Seeing this scene, all the Xi doctors in the office stood up, looking at Director Zhang with fiery eyes, and whenever this time, the Xi doctors looked at the director's eyes, like an infatuated girl, looking at her lover obsessively.

When the director goes to surgery, he will bring two or three Xi doctors to visit, and during the operation, the director will explain and operate at the same time.

On-site observation and immersion are the best opportunities to learn Xi.

Zhang Ming glanced at the Xi doctors who were waiting to be fed.

A faint opening.

"Summer, fatty, Li Xiaohong, the three of you come with me. The

three were so excited that they hurriedly washed their hands and changed their clothes to prepare, while the Xi doctors who were not selected were crying one by one.

Doctor Xi No. 1: "Why didn't the director choose me? Because I am short?" Doctor

Xi No. 2: "You are not only short, but also ugly, and the director is afraid that he will see your face spit out during surgery." "

Mom, a chicken!"

Doctor Xi No. 1 puffed up: "Then why didn't the director choose you?" Doctor

Xi No. 2: "Because I am so beautiful, when the operation is so highly concentrated, my beauty will affect the director." "

Whew

! Vomited!

After a while of jokes, Doctor Xi No. 1 muttered

with a look of 'this baby is not happy'.

"The director is too partial to the summer. "

We all graduated together, we are all Xi practical doctors, the director is so biased, how can we learn Xi?"

"I calculated, come to the real Xi for three months, in the summer there are an average of two opportunities to follow the stage every week, and the rest of us, at most once a week, sometimes, only once every two weeks." "

Why is there such a big gap between people?"

and "Why?"

said him, and

the office was silent.

When he raised his head, he saw that everyone was staring at him, which frightened him and immediately changed his words.

"Brother Tian's awesome!".

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