This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 61 No Surgery Required!
"Brother, look, right now, after the surgery, under anesthesia, the passive flexion and extension movements of your thumb and index finger are quite smooth, without any obvious resistance."

"Fortunately, we were lucky that no blood vessels or nerves were damaged, otherwise the surgery would have been much more complicated."

After the surgery, Lu Cheng took off his sterile surgical gown, picked up his phone, and played the 'passive rehabilitation' video recorded during the operation.

Under the shadowless lamp, Lu Cheng's features were sharp and his tone was dignified and mature, giving him a convincing quality.

When the young man was killing the chicken, he accidentally injured the flexor tendon in the second area. After the injury, he could move his hand, but his fingers would become unable to bend.

"Dr. Lu, then the postoperative recovery should be good, right?" the young man asked Lu Cheng. He wasn't concerned about the details of the surgery, but only about the final outcome.

"After the surgery, you need to follow the postoperative instructions and work hard to recover. The results are generally good. I have performed six surgeries with your type of zone 2 flexor tendon injury so far."

"The worst one still has decent finger flexion range, but the muscle strength in the fingers is a bit weaker than before, which is unavoidable."

“Functional mobility should definitely take priority over muscle strength rehabilitation,” Lu Cheng reassured her.

"The surgery is all done now, so don't worry too much. Just focus on your recovery."

"Moreover, for flexor tendon injuries in this area, no matter where you go for surgery, there is a non-excellent rate of more than 10%. This is the same at Xiangya Hospital and Xiangya No. 2 Hospital, and other hospitals as well."

"With the internet so readily available now, you can just search for 'no man's land tendon' and you'll find out."

"Of course, I'm not saying this to avoid responsibility; I told you before the surgery."

After listening, the young man thought for a while before saying, "Dr. Zhang said that you do tendon suturing better than the doctors in the state. Is that true?"

Lu Cheng said, "I don't know, we haven't compared. We each do our own surgeries. Actually, Dr. Zhang was just joking. We doctors don't deliberately belittle our colleagues to elevate them."

The patient was then transferred out of the emergency operating room... and back in his ward, he saw several other people nearby who also had ruptured tendons and seemed to be recovering well, which put his mind at ease...

However, after he settled down in bed, his girlfriend said with some concern, "Shangjun, I just checked, and the tendon rupture in this area is very difficult and complicated to operate on. We should go directly to the state hospital..."

"I don't think so. The fact that Dr. Lu didn't say he wouldn't flatter the powerful and belittle the weak proves that he has real ability. On the contrary, that Dr. Zhang seems a bit of an amateur."

"Those who are truly skilled do not bother to belittle others to elevate themselves."

“Dr. Lu probably doesn’t lack patients, which is why he readily suggested we transfer to another hospital. You see, other doctors at the county hospital are all more or less hinting that you should stay…”

Shang Jun is also a tech person, so he understands this point quite deeply.

"Really? But I read online that if the tendon rupture here isn't treated properly, it can easily lead to loss of function." The woman was still a little worried.

"There's a kind of confidence that can't be faked," Shang Jun nodded.

Hearing this, a middle-aged man next door spoke up at the right time: "Let me tell you something. Actually, there is a professor in the orthopedics department of the hospital who is also a hand surgeon at Xiangya Hospital. He specializes in tendon suturing."

“He came to our department a few days ago and said in person that Dr. Lu’s skill in suturing tendons is now 60/40 with him, Dr. Lu is 60 and he is 40.”

"That's what the professor said himself! I heard it with my own ears."

"But the professor also said that Lu Cheng's surgery fee was too low. If he had gone to the state hospital or Xiangya Hospital, it would have increased by at least 30 or 40 percent." The middle-aged man said with a smile as he bent and stretched his wrist.

After listening, Shang Jun and the woman fell silent, then a hint of smugness appeared between their brows.

……

"Brother Lu, come here for a second. A patient with a fracture has come in. The on-call orthopedic doctor said to send him directly to the hospital."

“No one’s coming down.” Tian Zhuang said this as soon as Lu Cheng arrived at the general ward, before he even started writing the surgical record.

"I don't know how to tell either. Brother Lu, you used to be an orthopedic surgeon, so you should be able to assess whether surgery is necessary, right?"

Lu Cheng tilted his head and scratched his scalp: "Who's on duty in orthopedics today?"

"It seems to be Dr. Tian Shan," Tian Zhuang replied. "The patient went to get scans done, the results will be out ahead of time, Brother Lu." Tian Zhuang, for the first time in a long time, showed Lu Cheng a fawning face, no longer arrogant.

"Okay, let's go take a look together," Lu Cheng said.

Brother Tianshan, I heard he has a direct relative in the county health bureau. The county health bureau is the most direct threat to the people's hospital. Local officials are more powerful than county officials, yet he's doing quite well.

The emergency department called for a consultation, a remote consultation involving reviewing the images—a common practice among experienced orthopedic on-call staff.

Tian Zhuang returned to his workstation, refreshed the page, and said, "Brother Lu, the film results are in."

Lu Cheng turned to the side and clicked and moved the mouse.

Although he hadn't dealt with formal orthopedic diseases for a long time, Lu Cheng had been an orthopedic surgeon for seven years. Reading medical images and studying the theory were ingrained in his bones; it was the field he was most familiar with.

"There's a fracture!"

Lu Cheng immediately grasped the key point: "Elbow joint, radius and capitula fracture."

"Classification: Mason type II. No elbow dislocation."

"There is no ulnar fracture, the distal radioulnar joint is closely connected to the bone of the hand, and no fracture line was found." Lu Cheng read out the details of the X-ray as he reviewed it.

"Do we need a hospital admission certificate?" Tian Zhuang turned his head, his eyes sparkling.

Patients with fractures are usually referred to orthopedic specialists for consultation and treatment.

"Huh? Hospital admission certificate?" Lu Cheng tilted his head, slightly surprised.

"Not opening?" Tian Zhuang asked.

"No need to open it. This fracture doesn't require hospitalization. We can just put a cast on it later," Lu Cheng said.

"A fracture without surgery?" Tian Zhuang's expression turned slightly smug.

Tian Zhuang's question made Lu Cheng somewhat doubt himself, but after carefully extracting his memories, Lu Cheng suddenly realized—

Radial head fracture is for localization, Mason type II fracture is for classification, and assessment is for whether there are surgical indications.

Surgical treatment of Mason type II fractures is not superior to conservative treatment, so surgery may not be necessary.

Since Tian Shan from the orthopedics department isn't coming, it means the patient is being left to be handled by the emergency department.

"Doctor, how am I? Is there a fracture? I'm in so much pain." The patient only had an X-ray, and after that, he rushed back to the emergency surgery clinic.

Lu Cheng stood up and looked at the newcomer, a young man who looked to be about thirty-two or thirty-three years old. He said, "You have a fracture, but the situation is okay. We'll put a cast on you later, and you can go back and rest for a while."

The young man panicked a bit when he heard there was a fracture, but he calmed down when he heard that surgery wasn't needed: "Even with a fracture, surgery isn't required?"

"Is it possible to manually reduce the size?" With the development of social media, there is a lot of marketing about manual reduction techniques.

Lu Cheng said, "It's not manual reduction. Not all fractures require surgery, nor do all fractures need manual reduction. It's just that this condition is more suitable."

"Get your forearm sling, get some anti-swelling medication, and apply ice to the area when you get home. After 48 hours, switch to heat therapy."

"Of course, if you want surgery, you can go directly to the orthopedics department. The orthopedic doctor said you can just go up to him."

"It's up to you to choose!" Lu Cheng emphasized as well.

The original text in the textbook states that the effect of surgical treatment is neither better than that of conservative treatment, nor is it weaker.

Asking for a monthly ticket.

(End of this chapter)