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

Chapter 66 Xiao Lu is a professional orthopedic surgeon, okay?

"Come on, Xiao Lu, I'll go help you!"

"Look at my build, do you think I'm strong enough?" Lin Qianlong didn't stand on ceremony with Lu Cheng at all and immediately started pushing him up.

He was an associate chief physician, and since he was on the same stage as Lu Cheng, Lu Cheng had no responsibility.

Of course, the most important reason is the professional knowledge and skills that Lu Cheng just listed, which makes it necessary for him to do this in order to be a good director of the emergency department.

However, Lin Qianlong was worried that he didn't have enough strength.

The orthopedic surgeon's nickname "strongman" is quite well-known.

Upon hearing this, Lu Cheng smiled and said, "Director Lin, this patient's repositioning doesn't require much force. I'm going to use the Kocher repositioning method. You just need to lend a hand."

"Let me finish writing the prescription first. Also, we don't have a template for joint reduction here, so I have to write one myself, which will take a little longer..."

"Director Lin, it's not good to leave the patient waiting for so long. Could you please take the time to calm the patient down?"

Surgical templates can be created quickly with general templates, but typing them out word by word from scratch takes time.

During this period, it's best not to leave the patient unattended.

Of course, Lu Cheng's suggestion was also to give Lin Qianlong a sense of presence and make him feel important.

What leaders, superiors, and veteran comrades fear most is that if everything can function normally even when they are not around, it means that the leaders are incompetent.

"Okay, I'll go tell the patient." Lin Qianlong knew it was time to use his authority as the director.

The most classic shoulder dislocation reduction technique in orthopedics is the hand-pull-foot-cushion method. However, since Lin Qianlong did not ask why he did not choose this technique, Lu Cheng did not deliberately explain that the Kocher reduction method is less strenuous and safer than the hand-pull-foot-cushion method.

……

It took Lu Cheng twenty minutes to recreate a template for an informed consent form for manual reduction of joint dislocation. After saving it to the template area, he recreated the framework by adding the patient's basic information.

The informed consent form for the surgical (procedure) risks was completed, printed out, and Lu Cheng brought it to the patient.

Director Lin Qianlong lived up to his reputation as a director; he had already convinced the young couple before Lu Cheng arrived. So when Lu Cheng reiterated the risks of the surgery, the two of them didn't hesitate much and chose to sign and pay the fees.

"Forearm slings are relatively cheap, and there's not much difference between hospitals in the county; it should be around 20 or 30 yuan. But manual reduction of joint dislocations costs 220 yuan per case at our hospital."

Lu Cheng explained to the two of them.

"Okay, it's alright, Dr. Lu. Just print out the payment slip for us. I hope it won't end up in the operating room for an open reduction." The girl was a little worried, waiting for Lu Cheng's reply.

“We will definitely do our best. Actually, your dislocation is the simplest and most straightforward type of shoulder dislocation, so it's worth looking forward to,” Lu Cheng explained with a smile.

"You're also a medical professional, you should know that no procedure is 100% perfect, right?"

The girl nodded, and then followed Lu Cheng and Lin Qianlong into the control room.

"During the manual reduction of a dislocated joint, you may experience fear symptoms, which means the pain will gradually intensify. Just bear with it; the process won't be long."

"The pain will subside immediately after the repositioning is complete..." Lu Cheng explained to the girl after instructing Lin Qianlong to help stabilize her scapula.

"Okay, Dr. Lu!" The girl listened to Lu Cheng's methodical and straightforward preoperative communication, which was free of any fancy embellishments. Instead, she trusted Lu Cheng to be a professional orthopedic surgeon, at least more reliable than many of the doctors she had encountered.

Lu Cheng began the procedure, and about two minutes later, the girl reached an extreme point of pain and cried out in agony, "Ah!"

At the same time, with a click, the sound of the joint returning to its original position in the joint cavity also arrived as expected.

Lu Cheng gestured for Lin Qianlong to let go, and he himself slowly released his grip, bringing the girl's left arm back to his side.

The girl closed her eyes, a tear squeezing out from the corner of her eye. She felt a little wronged; it was supposed to be a beautiful Qixi Festival, a time for sweetness...

"It's okay, it should be back in place now. How are you feeling?" Lu Cheng waited patiently for half a minute, until the girl had calmed down a bit, before asking. The girl sniffed: "It doesn't seem to hurt anymore."

"That's good. Try raising your left hand again. Director Lin, could you record this for me? Don't show your face." Lu Cheng held out his phone.

Lu Cheng instructed and began assessing her range of motion: "Raise your arm to the side, over your shoulder, 120°, good, raise your arm overhead. Don't adduct it, you've just reset it, there's a chance of re-dislocation..."

"I think the repositioning is satisfactory. Put on a forearm sling, have a follow-up X-ray of the shoulder joint, and then put on a safety lock. Then you can go home."

"The forearm sling must be kept in place at all times. Except when showering, it cannot be removed for two weeks. Come back for a check-up in two weeks, is that okay..."

"Well, if you're very afraid of pain and willing to take some medicine, you can bring some painkillers and swelling reducers back with you."

"Okay, thank you, Dr. Lu." The girl nodded in agreement.

……

Half an hour later, the girl stormed out alone.

"Don't touch me, Du Hongdong. There's no future for us. You have no respect for me at all."

"Don't touch me, or I'll call the police..." The girl's expression completely changed as soon as the two reached the entrance of the emergency department, before they even stepped out of the curtain.

"I'm sorry, baby... I really know I was wrong."

"You disgust me, don't call me!" The girl rushed out.

Lin Qianlong was taken aback when he saw the young couple suddenly erupt.

Turning his head to look at Lu Cheng, Lu Cheng squinted and smiled, "Director Lin, this girl's shoulder dislocation is not a common traumatic shoulder dislocation, but a sensual shoulder dislocation."

Lu Cheng gave it a unique name.

Lin Qianlong immediately realized: "Youth is wonderful."

He didn't care whether the two would break up. All a doctor can do is relieve patients of pain and cure diseases; there's nothing else he can do.

[Single-handedly performing manual reduction, administering analgesics and anti-swelling medications to reduce inflammation and edema, and alleviating the pain burden of patients with high pain sensitivity, earns 0.8 skill points!]

Lu Cheng didn't feel like he had lost money, even though the returns were completely disproportionate to the investment.

It's better to teach someone how to fish than to give them a fish. Even if you don't need this skill now, you might need it in the future.

Lu Cheng then looked at another regulation.

【Xu's Bone Setting Technique (Fracture Division) (Introduction 2/5)】

Looking at my meager 1 skill point, I could only sigh: "Take it slow..."

Lu Cheng remained in the emergency ward, while Lin Qianlong left.

However, before leaving, Lin Qianlong took the initiative to call Peng Haibo: "Director Peng, thank you."

"If your department has any joint dislocations that you can't handle in the future, please remember to have our department consult with you." Lin Qianlong's tone was not very polite.

Peng Haibo was completely confused: "Director Lin, what does this mean?"

Lin Qianlong said in a simple manner, "Director Peng, it's nothing. It's just that Xiao Lu is a professional orthopedic doctor, while our emergency department is a hodgepodge department where we just pick up scraps and make a living. I hope you won't mind."

"Is it Lu Cheng? What did he do?" Peng Haibo immediately realized what was going on and felt nervous.

(End of this chapter)