Healing Doctor

Chapter 322 Looks Like a Clown (Bonus Chapter for Alliance Leader Xiaoxiao515 x 3)

After explaining for several minutes, Zhao Tianjiao was covered in sweat.

He felt a little guilty because, in Zhao Tianjiao's view, there was absolutely no possibility of failure in what he had just done.

However, the patient screamed after the reduction, and the shoulder dislocation was not cured, but instead brought the patient even greater pain.

After thinking for a while, Zhao Tianjiao came up with an explanation for the failed repositioning.

He believed that the patient was too strong, and with muscle tension and spasms, his arm strength was insufficient, so he had to rely on leg strength.

After explaining, Zhao Tianjiao asked the patient to lie on his back, and he stood on the affected side of the patient.

Holding the wrist of the affected limb with both hands, Zhao Tianjiao lifted the foot, placing the heel against the armpit on the affected side. Then, he used both hands to apply steady and continuous traction, pushing the humeral head outward with the heel while rotating it.

He pulled his upper arm inward, applying slight force. At the same time, Zhao Tianjiao pricked up his ears, listening carefully.

The "click" sound of repositioning did not come; instead, the patient's cries of pain continued.

"What the heck..." Zhao Tianjiao was stunned. He had no idea what was going on and felt panicked.

Not daring to continue, Zhao Tianjiao, with his family's long history of medical training and his clinical experience, clearly understood that all clinical procedures must be performed according to standards. If one does not understand something, one must never force it, otherwise it will definitely lead to serious side effects.

Zhao Tianjiao was worried that doing something would be worse than not doing it at all, and that such an embarrassing situation would happen.

After releasing the patient's hand, Zhao Tianjiao found that the shoulder joint was still not in place.

This was truly embarrassing; he was at a loss.

It's so weird. A problem that usually solves with a click is now impossible to fix no matter how many times I turn it over.

Zhao Tianjiao's face turned slightly red, but he didn't insist or persist. Instead, he lowered his head and tried to smooth things over, saying, "There must be other problems. I'll go find President Xu."

After saying that, he hurriedly ran out to find Xu Leyu to see what was going on.

"It's not as powerful as I thought," Lu Kai whispered in Ji Xiang's ear.

Ji Xiang didn't speak, but carefully examined the patient's condition.

It wasn't a problem with Zhao Tianjiao's skill or technique, but rather that he had encountered a rare situation after walking in the dark for too long.

Ji Xiang held his breath and entered the system operating room.

A dozen seconds later, Xu Leyu returned with Zhao Tianjiao, his brows furrowed.

"What happened?" Xu Leyu asked.

"I've tried both the pull-down method and the foot pedal method, but they didn't work," Zhao Tianjiao said.

"Is that so?" Xu Leyu lifted the patient's arm.

However, the patient instinctively pulled his arm back, as if by conditioned reflex.

Because his right arm was immobile, his body shifted inward, looking like a little girl encountering an old rogue, her face filled with terror.

Mr. Xu was both amused and exasperated, but he understood what the patient had gone through after two failed repositioning attempts. He was not only handsome, but also very empathetic.

"Let me take a look, don't hide," Xu Leyu said gently.

After calming down, the patient, though still very scared, knew that the problem still needed to be solved.

He tried to suppress his fear and asked Mr. Xu to examine the affected limb.

After examining it, Xu Leyu also felt something was off; it shouldn't be like this. But he thought Zhao Tianjiao's technique was wrong and prepared to try it himself.

"Lie down properly," Xu Leyu said to the patient with a smile.

He was handsome and spoke gently, which calmed the patient down a bit. However, the thought of doing what had just happened made him tremble.

"Mr. Xu."

Just as Xu Leyu was about to take off his shoes, Ji Xiang suddenly whispered in his ear.

"Hmm, what's wrong, Dr. Xiao Ji?" Xu Leyu asked.

"When you were asking about the patient's medical history just now, I sensed that the patient seemed to be like this."

Xu Leyu was startled and turned to look at Ji Xiang, who had spread his arms and was making a falling motion.

"..."

Mr. Xu was stunned and sighed inwardly.

"What are you doing, acting? Do you know you look like a clown?" Zhao Tianjiao was in a bad mood, and her words were particularly harsh and unpleasant.

However, Ji Xiang ignored Zhao Tianjiao and looked at the patient after performing the same action.

"Is that so?"

"It seems so."

Xu Leyu felt helpless and amused. He was about to kick Ji Xiang out when he immediately realized something was wrong.

I did ask about the patient's medical history, but the focus wasn't on either my questions or the patient's answers.

Does it matter how you fall?

unimportant!

The key point is the outcome of the patient's fall—shoulder dislocation.

Why is Ji Xiang's imitation so lifelike?

Xu Leyu was meticulous and thought it over carefully. Suddenly, he realized something—Ji Xiang had just stretched his arm out to the extreme, which made it look a bit strange.

The shoulder joint is a ball-and-socket joint composed of the head of the humerus and the glenoid cavity of the scapula. The glenoid cavity is small and shallow, and the joint capsule is thin and loose. It is the joint with the widest range of motion and can actively perform abduction, adduction, flexion, extension, rotation, and circumduction movements.

These anatomical features also determine that the shoulder joint is the most prone to dislocation (followed by the elbow joint), accounting for 50% of all joint dislocations in the body, which is three times the incidence of elbow dislocation.

brush!

Countless images flashed through Mr. Xu's mind.

There is a relatively rare type of shoulder dislocation – posterior dislocation.

Then there is an extremely rare case of dislocation: vertical dislocation.

An animation flashed through Mr. Xu's mind, frame by frame: the humeral head completely dislocated and locked below the glenoid fossa, the upper arm raised, unable to adduct.

To achieve a dislocation-like effect, the upper arm needs to be extremely abducted, just like the movement Ji Xiang just made.

No wonder it looked so familiar; I remember my teacher making a similar movement when he talked about shoulder dislocation in school!

"Dr. Ji...please wait a moment." Xu Leyu said to the patient and hurriedly pulled Ji Xiang out of the treatment room.

Zhao Tianjiao was taken aback. Ji Xiang seemed to be making a fool of himself, so why was President Xu pulling him out?

Feeling somewhat puzzled, Zhao Tianjiao followed them out.

"Dr. Ji, do you mean the patient might have a rare type of posterior dislocation—vertical dislocation?"

"Possibly." Ji Xiang didn't give Mr. Xu a definite answer. "I saw that the repositioning failed twice. I feel it's not a problem with the technique. It could be due to the patient's condition itself."

Although Ji Xiang didn't speak ill of her behind her back and even tried to excuse her by saying it was due to the patient's condition, Zhao Tianjiao still felt that Ji Xiang's words were full of sarcasm.

"Possibly." Xu Leyu didn't share Zhao Tianjiao's emotional reaction. He pondered for a moment, then said, "Let's get an MRI scan done!"

"Mr. Xu, an MRI isn't convenient at night," Zhao Tianjiao reminded him.

"It's okay, I'll take you there. You can watch the movie directly on the machine," Xu Leyu said.

The posture that Ji Xiang just demonstrated has given us enough of a hint, but because it is so rare, we have to do an MRI to confirm it.

As for MRI, he has many orthopedic patients undergoing the procedure, and as the chief resident, he is very familiar with the doctors in the MRI room.

Xu Leyu hurriedly walked back, glancing back at Ji Xiang the moment he entered the room.

(End of this chapter)