Rebirth 1977 Great Era
Chapter 634: First Use of Dialects, 2 Cases of Treating Fractures and Dislocations
Chapter 634: First time using dialect, two medical cases of treating fractures and dislocations (Happy New Year!)
The patient was brought here by his grandfather and father.
This immediately reminded Fangyan of the child who was taken to the hospital by his mother and grandmother for treatment this afternoon.
The two are only one year apart in age.
When the two parents saw Mrs. Luo come in with Fang Yan and Wang Chengyu, they immediately stood up. Her grandfather asked anxiously:
"Dr. Luo, how is my grandson?"
The child's father asked anxiously:
"No...no broken bones?"
Old Mrs. Luo turned sideways and pointed at Fangyan and said:
"Ask him."
The two of them didn't know the dialect, and were a little confused when they saw a strange young man.
This treatment room is separated from the corridor outside by an inspection room, so they couldn't hear anything from here despite the hustle and bustle outside just now.
Of course, the old lady had her reasons for making such arrangements.
Because when bones are being set in the treatment room, there will inevitably be some noises from patients, even screams, which will greatly affect the mood of the patients waiting in the aisle outside.
For example, if the dressing room in the anorectal department is not well soundproofed, one can hear heart-wrenching screams in the corridor every day.
It is said that people start learning at the age of five and start setting bones at the age of six. From these details, we can see the difference between orthopedics, which has been passed down for 300 years, and ordinary orthopedics.
Wisdom is everywhere.
Of course, in this situation today, this wisdom has to make Mrs. Luo take some time to introduce her new apprentice Fangyan.
After the old lady introduced the dialect in a proud tone, the father and son, who had been a little worried just now, immediately had smiles on their faces.
Originally thought that Mrs. Luo was planning to let the new apprentice practice on her own baby, but unexpectedly the person who came was this year's top scholar. The superiors even arranged for the overseas Chinese businessmen to seek treatment from him.
Although it was not known when he became Mrs. Luo's disciple, she was famous after all. Even if he was not Mrs. Luo's disciple, the father and son had no objection to letting him treat the disease.
Now Fang Yan continued, answering the patient's family members:
"The X-ray shows that the child's right mid-radius fracture."
After hearing this, the child’s parents’ faces immediately turned bad.
They were just afraid of broken bones. Even the injured child's face turned pale. It felt like the end of the world. Fang Yan saw that this family was obviously taking this matter too seriously, so he said:
"But don't worry, adolescent fractures heal quickly, and the bone callus has a strong ability to reshape. I believe it will heal in no time, and the function of the hand will not be affected in the future."
People in this era did not have the same knowledge of health knowledge as those in the later Internet age. They could always go online to check, and they could only judge based on the experience provided by those around them. If people around them said that a fracture was a big deal, then they would have such an inherent impression, no matter what kind of fracture it was, as long as they heard the word fracture, they would definitely feel like the sky was falling.
So dialects must make things clear.
Fortunately, both he and Mrs. Luo were famous doctors. After hearing what he said, the complexion of the family of three immediately improved a lot.
However, his grandfather was still a little worried and asked Fang Yan:
"How long will it take to get better?"
This question stumped Fangyan.
It’s not that he can’t calculate the time, but the main thing is that he has to calculate the specific time based on the medication.
If ordinary medicine is used and the boy's original strong recovery ability is used, the fracture can be healed in about two months.
But if we add the "Dipsacus asper Bone-setting Holy Golden Pill" from Old Lady Luo.
Or the dialect comes from the "Yingbing Bonesetting Paste" recorded in the "Yanxia Shengxiao Fang" found in the "Yuxiu Yifang Leiju".
Then this time will be shortened a lot.
But the medicines in it are much more expensive, and the tiger leg tibia alone is difficult to find.
Although Fang Yan had so many thoughts at once, in reality it only took a moment. Fang Yan quickly made a choice and said to them:
"The child will be well in two months at most."
"Two months..." The child's grandfather and father looked at each other, as if they felt that this time was still a bit long.
But soon, something Mrs. Luo said made them feel that the time was just right.
I only heard Mrs. Luo say:
"This is a good time. He will have to wear the splint for two months and wear it to school so that others can see it. It will also help him remember it."
When the parents heard the old lady say this, they immediately felt that it made sense.
The child’s father said:
"Yes, this kid has been naughty all day long. Wearing a splint for two months will really teach him a lesson."
When the child heard this, he immediately shrank his neck.
The child’s grandfather said:
"Then Doctor Fang, can you treat him quickly?"
Fangyan nodded, took off his coat first, and then revealed the round-neck sweater underneath.
This will make it easier to exert force when correcting the bones later. Fangyan moved his two hands, and this action made the boy's face turn even paler.
Fangyan dragged a chair over and placed it in the middle of the room, then pointed at the boy:
"Come, sit here."
Then he said to Wang Chengyu beside him:
"Brother Wang, please help me."
When Wang Chengyu heard someone calling him "senior brother" in dialect, he immediately agreed with a smile, "Okay!"
Seeing this scene, the young man couldn't help but tremble slightly all over.
He walked to the chair that Fang Yan had brought and sat down with some trepidation, and then Wang Chengyu immediately held his elbow. At this moment, the boy could almost see Wang Chengyu's biceps under his white coat, which were bulging like a lump of iron.
At this moment, Fang Yan dragged another bench and sat in front of the boy's right side, then held the patient's wrist with both hands.
Then he began to gently pull the boy's fractured forearm, and finally the thumb reached the protruding part of the fracture, and the other four fingers were in a supporting position upwards.
"Just count to three and we'll start." Fang Yan said to the boy.
After saying this, he winked at Wang Chengyu, who understood what he meant.
At this moment, sweat was already dripping down the boy's forehead, but when he heard Fangyan's words, he still nodded obediently.
"One... Hey! Ah! Hiss..." As the young man had just opened his mouth to say the word "one", he felt the strength of Fang Yan and Wang Chengyu biting along his hand and directly pressing the broken bone back.
The sudden attack made him gasp in pain.
Fangyan narrowed his eyes and felt a very slight movement under his hand - the distal end of the radius that had just been protruding was now pressing against the base of the thumb. When he lifted his four fingers upward, a bone friction sensation appeared in his hand, indicating that the fracture had been reduced.
Then Fang Yan had already stroked his hands down along the boy's arm, his palms moving along the flesh, gently kneading dough. This was the beginning of Luo's bone-setting technique to unblock the Qi and blood in the boy's arm. The fractured area that was red and swollen just now was almost unrecognizable after Fang Yan rubbed it a few times. The stagnant Qi and blood on it were dispersed, and even the swelling seemed to have disappeared.
If the boy’s grandfather and father hadn’t seen it with their own eyes, they probably wouldn’t have believed it.
It was swollen like a pig's trotter just now, and the fracture is almost unnoticeable now.
Even the boy himself felt that his arm, which had been numb and painful just now, suddenly felt relieved. Just as he was about to move, Fang Yan called him:
"It's just been reset, it's not healed yet, don't move."
The boy quickly agreed.
Then Fang Yan turned to Wang Chengyu who was helping him and said:
"Brother Wang, please help fix it with a splint to maintain the stability of his fracture. In addition, please prescribe the topical medicine."
In fact, Fangyan didn't know what kind of external medicine the old lady and the others were planning to use. He learned the bone-setting method from old lady Luo, but he didn't learn any of their secret recipes.
So now when he is asked to match, he can only use the methods he learned from other places.
"Okay!" Wang Chengyu nodded and agreed. After exchanging glances with Fang Yan just now, he knew what trick Fang Yan was going to use.
As soon as the patient counts, they exert force at the same time. This is what Mrs. Luo taught them.
Wang Chengyu quickly brought the external ointment and splint. Fangyan applied the ointment to the boy's hand and fixed it up, then hung it on his chest.
Then Fangyan checked his reactions again. After all, he fell off a bicycle, so checking whether there were any injuries to other joints was a very necessary step.
However, there were only some bruises on other parts of the body and the situation was not serious. After checking, he nodded to Mrs. Luo, indicating that he was done.
I thought the old lady would come up to check, but unexpectedly she turned around and told the patient's family:
"Okay, that's it."
Old Mrs. Luo watched the whole process and was very satisfied. Fangyan followed all the steps according to her book, and every detail was impeccable.
Fangyan was very skilled in the reduction, with consistent and accurate force points. After the deformity caused by the fracture disappeared, she found that Fangyan immediately stopped applying force to avoid repeated traction and aggravation of local injury. Mrs. Luo had thought that Fangyan would make mistakes as a novice, but she didn't expect Fangyan to give her the most perfect answer.
Then Fangyan went to the examination table outside and wrote down the treatment methods he had just performed on the medical record.
Old Mrs. Luo saw that Fangyan's writing was very detailed, much more detailed than hers, and she secretly liked her new apprentice more and more.
After Fangyan finished writing, Mrs. Luo said to Fangyan:
"Go on, next person?"
"Okay!" Fangyan nodded.
Wang Chengyu immediately took on the role of assistant, opened the door and called the next person in.
The person who came this time was a man in his 40s wearing work clothes.
Judging from the name of the factory embroidered on his work clothes, he is a worker in a nearby electrical wire factory.
He raised his right hand and spoke to the dialect:
"After lunch today, I was called to play basketball at the basketball court. However, I haven't participated in sports for a long time. When I was shooting the basketball, my right thumb accidentally poked the basketball. I immediately felt that I couldn't move my finger. Not long after that, the joint of my thumb became swollen. Because I don't trust the health center of my unit, I came here to see a doctor."
After that, he said to the dialect:
"Doctor Fang, my daughter went to see you for treatment when you were still at Tong Ren Tang. She said your medical skills were amazing."
Fang Yan smiled and nodded at him, then said to him:
"Put your hand here, and I'll show it to you."
The patient obediently stretched out his hand and came in front of Fangyan.
Dialect observation revealed that the thumb of the patient's right hand was shortened and deformed, and there was swelling in the joint of the thumb.
Fangyan used Roche's palpation method to examine and found that there was an obvious bulge on the palm side of the thumb. The position of the metacarpal bone could be felt by touching it.
The interphalangeal joints of the thumb are in a bent state, and the metacarpophalangeal joints seem to be restricted by elastic force, unable to move normally, and the range of motion is greatly limited.
While making the diagnosis, Mrs. Luo was also observing the patient.
This scene made the patient, who was not very nervous just now, ask anxiously:
"What's the matter with my hand? Is it broken? Do I need surgery or something?"
The dialect said:
"It's okay. There's no fracture. You don't need surgery. It's just a dislocation of the metacarpophalangeal joint of your right thumb. Come with me to the next room to get it reset. I'll have you back to normal in one minute."
(End of this chapter)
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