Healing Doctor

Chapter 321 Manual Repositioning

Xu Leyu looked at the surgical area, unsure of what to say.

Ji Xiang had a perfectly positioned clavicle plate; all he had to do was drill a hole and insert a screw.

The surgery was easy, but it felt very unreal to Xu Leyu.

He didn't nitpick to show off his superior skills. It wasn't that Xu Leyu didn't want to, but rather that there really wasn't much to say.

If you deliberately look for faults just for the sake of looking for faults, you've fallen into a low-level trap.

It's just that the surgery seemed to have been performed by someone who was guiding Zhao Tianjiao, but at this moment, it was actually the one being guided.

This feeling was extremely strange, and Xu Leyu found it hard to accept for a while.

He calmed himself down again, drilled holes, inserted screws, and then looked for bleeding points. Finding no active bleeding, he began to suture layer by layer.

Because Zhao Tianjiao was there, Xu Leyu didn't want the son of Dean Zhao to be upset. In addition, he knew that Ji Xiang was good at tying knots, so he did it himself.

Ji Xiang doesn't compete or fight; once each knot is tied, the scissors are immediately there.

Xu Leyu noticed that Ji Xiang's movements with the thread scissors were extremely precise. He pressed down along the suture line, lifted it 0.5cm after reaching the knot, and cut the suture line with a slight tilt.

"Wow, that's a really high level!" Xu Leyu thought to himself.

The surgery was performed extremely quickly; what was originally thought to be a procedure that might not even take an hour was initiated in just 22 minutes.

The patient woke up with normal vital signs, and several people lifted her onto a stretcher and took her away.

"Mr. Xu, did that Dr. Ji perform surgery before?" The anesthesiologist and Mr. Xu went downstairs together, chatting as they walked.

"I don't know, but I heard he's doing quite well in the urology department," Xu Leyu replied in a low voice, also puzzled.

"I have a feeling that Dr. Ji can already perform internal fixation of clavicle fractures independently?" The anesthesiologist was also somewhat incredulous.

"That's what I think too," Xu Leyu said, puzzled. "Basic skills are basic skills, and surgery is surgery. That surgery just now... how should I put it? If I were the assistant, and the surgeon was our chief surgeon, I couldn't have done it that quickly."

"So that's what you thought too!" the anesthesiologist exclaimed in surprise. "I thought I was seeing things, but it turns out I was right."

"Strange." Xu Leyu frowned and subconsciously ran his hand through his hair.

"Let's put on a couple of surgeries. I've heard that Dr. Ji is quite good at interventional and urological surgeries," the anesthesiologist said confidently. "Mr. Xu, do you think there really is a genius?"

"How would I know? I'll observe them again when they come to the emergency room again." Xu Leyu was also very curious about this question.

Back in the ward, the two glanced at the patient, the anesthesiologist returned to the operating room, and Mr. Xu explained the precautions to the patient's family.

As soon as I stepped out of the ward, I saw several burly men walking towards me. The one in the middle was standing sideways, his right arm in a sling in front of him.

Xu Leyu can tell what's wrong with a dislocated shoulder just by looking at the patient's walking posture.

"A prodigy!"

"I'm here, Mr. Xu." Zhao Tianjiao ran over.

"The patient likely has a shoulder dislocation. Let me take a look, then you can go and reduce it."

Zhao Tianjiao was very skilled at this job, so Xu Leyu trusted him to do it. There was also another reason—Xu Leyu had just sensed Zhao Tianjiao's fighting spirit, and he wanted to let Zhao Tianjiao show off a little to avoid bigger conflicts in the future.

"Okay."

Zhao Tianjiao was feeling frustrated because he hadn't been able to have surgery yet, but then he happened to see a patient with a dislocated shoulder, and Zhao Tianjiao suddenly became excited.

Mr. Xu took the patient to the treatment room.

During the conversation, the patient revealed that he was working at a construction site and had accidentally fallen while finishing work, resulting in his right arm becoming immobile.

I went to the emergency room, where the doctor examined me and diagnosed me with a shoulder dislocation, so they referred me to the inpatient department.

Xu Leyu first examined the patient.

The patient's injured shoulder is swollen and painful, with limited active and passive movement; the affected limb is elastically fixed in a slightly abducted position, and the patient often supports the affected arm with the healthy hand, while the head and trunk tilt towards the affected side.

The deltoid muscle collapses, resulting in a square shoulder deformity. The displaced humeral head can be palpated in the axilla, below the coracoid process, or below the clavicle, and the glenoid cavity is empty.

A positive shoulder-touching test means that when the affected hand is near the chest, the palm cannot be placed on the opposite shoulder.

"It's a shoulder dislocation, let's reduce it," Xu Leyu said, turning and leaving.

Zhao Tianjiao glanced at Ji Xiang and Lu Kai beside him, seemingly looking down at them and silently displaying his "skill".

"Lu Kai, go get a chair, the one over there," Zhao Tianjiao instructed Lu Kai.

Lu Kai was indifferent and didn't care at all about Zhao Tianjiao's arrogance. He went to move the chair over with a grin.

"Sit down." Zhao Tianjiao told the patient to sit in the chair with his affected limb resting on the back of the chair.

He holds the patient's wrist with one hand, bends the elbow to 90 degrees to relax the biceps, and holds the elbow with the other hand, continuously pulling and slightly abducting the upper arm, gradually externally rotating it.

But no "click" sound came out.

Zhao Tianjiao remained calm, as the Koch method is not a foolproof technique.

Grab the patient's right arm and pull it down using the back of the chair.

"Ah~~~"

A scream echoed in the treatment room.

Zhao Tianjiao was taken aback.

This shouldn't be the case! I've performed over 20 shoulder dislocation surgeries myself, and each time I've either used the Korotkoff method or pulled down to resolve the issue.

I did a great job just now, there were no problems.

But in the end, we heard the patient's screams, but not the faint "click" sound.

"Does it hurt a lot?" Zhao Tianjiao asked somewhat flustered.

"It hurts," the burly man said, sweat beading on his forehead, enduring the pain.

Zhao Tianjiao checked it.

Normally, after reduction, the shoulder will regain its normal, rounded, and full shape, and the dislocated humeral head will no longer be palpable in the axilla, below the coracoid process, or below the clavicle, and the shoulder-touching test will become negative.

However, there was no change in the patient's right shoulder.

What the hell is going on?! Zhao Tianjiao was stunned.

"Your dislocation is severe, let's try again." Zhao Tianjiao quickly realized what was happening and explained to the patient.

"Um."

"You're in good shape and have strong muscles, so try to relax a bit, otherwise it will be difficult for me to do it," Zhao Tianjiao said.

Should we try using the back of the chair again? Zhao Tianjiao hesitated for a moment, but the patient's screams from earlier had frightened him.

If that doesn't work, then use that trick! Zhao Tianjiao thought to himself.

"Come on, lie down." Zhao Tianjiao guided the patient to lie on the examination bed with the affected limb on the outside.

He positioned the patient and began to take off his shoes.

"Doctor, what are you doing!" The patient's family member asked cautiously, not understanding.

"Use your feet to push against him; that way you'll have more strength," Zhao Tianjiao replied. "Otherwise, he's too strong; I can't pull him down with my arms."

The patient and his family looked bewildered.

"We call it the foot-stomping method." Zhao Tianjiao was also a little flustered, afraid that the patient and the patient's family would not understand, so he first explained the contents of the foot-stomping method.

(End of this chapter)