Healing Doctor

Chapter 349 Acromion Injury

Ji Xiang accompanied Deng Chaohong to surgeries every day, showing none of the arrogance and domineering nature of the rumors. Zhao Tianjiao, on the other hand, rarely came lately. Deng Chaohong initially tried to persuade Zhao Tianjiao, but gradually, he found Ji Xiang more and more agreeable, and deliberately forgot about Zhao Tianjiao.

Deng Chaohong's main area of ​​expertise is arthroscopy; he performs numerous surgeries daily and is highly renowned within the province. If he weren't capable, Dean Zhao wouldn't have entrusted his son to him.

One day, after the surgery, Deng Chaohong stepped down from the stage and saw Ji Xiang writing medical records.

Ji Xiang also has an "invisible" working group in the Department of Urology, which is staffed with Zhao Zhe, an old attending physician from a grassroots hospital. In addition, Director Bai also sent Lu Gang, who has an eccentric temper but excellent diagnostic skills, to work there.

Ji Xiang rarely interferes with urological medical records, but in orthopedics, he diligently performs his duties.

Deng Chaohong took out a notebook from the drawer and started making phone calls.

"Professor Deng, this is too old-fashioned. It would be much better to make a document on a computer," Xu Leyu suggested.

"I'm used to it. I start taking notes when I'm at work. I've gone through five notebooks already."

"This is a treasure."

Although Xu Leyu said this, it was difficult for a young man like him to understand Deng Chaohong's persistence.

"President Xu, President Xu." Lu Kai came in from outside and greeted President Xu mysteriously.

"What's wrong?" Mr. Xu asked.

"Shall we go outside and talk?" Lu Kai asked somewhat embarrassedly, his chubby face full of a fawning smile.

"What did you do wrong?" President Xu asked, puzzled.

"No, really no, um... someone from my hometown came to see a doctor." Lu Kai whispered in Xu Leyu's ear.

"Ugh, going to the doctor? What's the point of going out then?" Xu Leyu laughed, but then immediately sensed something was off. He stared intently at Lu Kai, "Are you starting to work as a medical examiner?"

"Not a medical examiner, at least not yet." Lu Kai's face was already shiny with oil, revealing his nervousness and slight excitement.

"It's nothing, what patient is it? Has he arrived yet?" Xu Leyu asked.

While Ji Xiang overcame numerous obstacles, Lu Kai became familiar with the chief inpatients wherever he went, which Ji Xiang considered a skill in itself.

"not yet."

"Tell me what's going on. For the first job, we need the best professor," Xu Leyu said with a smile. "I'll choose for you. If you're too shy to say it, I'll go and ask."

Lu Kai was deeply grateful.

"Hurry up, stop rambling on."

"The kid from so-and-so's family in our county injured his rotator cuff while playing basketball at the age of 18. He went to the First Affiliated Hospital to have surgery performed by a professor. After the surgery and a month of rehabilitation, they said his function has improved significantly."

"Three months after the surgery, I was ready to start playing basketball again, but the pain is getting worse and worse."

"Was there a check?" Xu Leyu interjected.

"An MRI showed increased fluid accumulation in the subacromial region and glenohumeral joint," Lu Kai said. "We've been given symptomatic treatment, but it hasn't been very effective, and it's only been a little over six months. The day before yesterday, an X-ray showed that some of the bone under the acromion has disappeared. Mr. Xu, even if that kid is 19 years old now, it shouldn't be like this."

"Professor Deng, Professor Deng." Xu Leyu patted Lu Kai on the shoulder, stood up and went to Deng Chaohong's side. "Little Lu has a patient whose noodles you're definitely good at."

After hearing Lu Kai's account, Deng Chaohong turned his head and smiled slightly, "Call the patient over, I'll take him in."

Although Lu Kai was only a resident physician, he was usually very diligent, and Deng Chaohong was a kind person, so he was not made to suffer.

Who doesn't need to have surgery?

"Professor Deng, thank you." Lu Kai bowed deeply to Deng Chaohong to express his gratitude. "What do you think the problem is? How should I explain it to the patient?"

"Idiot!" Xu Leyu laughed and scolded, "Of course, you'll say you helped contact the most capable professor at our Second Affiliated Hospital, and the surgery was exceptionally good! Even our dean's child was sent to Professor Deng..."

Xu Leyu is prone to making mistakes when he talks too much; he stopped halfway through a sentence.

Deng Chaohong glanced at Xu Leyu and smiled, "Let the patient come first, I'll take a look at the situation. Just listening to you, I don't know what's going on."

"Okay, okay, thank you, Professor Deng."

Lu Kai bowed again and ran out to make a phone call.

"Professor Deng, do you think the patient will be able to come?" Xu Leyu felt a little embarrassed, so he changed the subject.

"Xiao Lu has good speaking skills, I reckon he'll be able to come," Deng Chaohong said casually, before starting to call patients again for follow-up.

Ji Xiang asked, "Professor Deng, bone loss should mean dissolution, right? What problem are you considering?"

"That arthroscopy machine at the First Affiliated Hospital..." Deng Chaohong glanced at the patient names recorded in his notebook, momentarily lost in thought, and blurted out half of what he was thinking, but then stopped himself, "Xiao Ji, do you know what the rare postoperative complications are when rotator cuff tears are treated with arthroscopy?"

Arthroscopy is a minimally invasive surgery. In the past month, he and Deng Chaohong performed seven arthroscopic surgeries for rotator cuff injuries. Before the surgery, they explained that there was indeed bone damage involved.

However, Ji Xiang has been busy with exams recently. Although he hasn't specifically set aside large blocks of time to study, he has still wasted a lot of time, so he hasn't looked for any materials in this area.

Holding his breath, Ji Xiang entered the system's operating room.

……

Seeing that Ji Xiang didn't speak, Deng Chaohong put his hand on the notebook and turned his head to look at Ji Xiang carefully.

"Dr. Xiao Ji, all surgeries have complications, more or less. Be careful when explaining this to patients, and talk more about any potential problems after surgery. Even if the probability is very low, you should still mention it."

"Professor Deng, what is the probability of patients developing bone problems after arthroscopic surgery?" Xu Leyu asked.

Deng Chaohong wanted to speak, but forcibly held back and looked at Ji Xiang.

"Several doctors have published papers with slightly more data in professional journals," Ji Xiang said.

"Oh, tell me about it." Deng Chaohong looked at Ji Xiang with great interest.

"Dr. Hotta found subacromial osteolysis in 9 out of 434 patients who underwent arthroscopic rotator cuff repair, a rate of approximately 2.1%."

"Dr. Park reported that 2 out of 118 patients developed subacromial osteolysis after arthroscopic rotator cuff repair, a rate of approximately 1.7%."

Of the 103 patients, one developed subacromial osteolysis after arthroscopic double-row rotator cuff repair, a rate of less than 1%.

"!!!"

Xu Leyu was taken aback.

Deng Chaohong was also surprised.

"However, both doctors' literature mentions follow-up at 6 months post-surgery, not beyond 6 months. I think the possibility will increase as time goes on."

Xu Leyu rubbed his forehead. He knew Ji Xiang to some extent and knew that this guy's memory was ridiculously good. It wasn't surprising that he could recite data like the back of his hand.

Ke Jixiang could find fault with other doctors' literature as soon as he opened his mouth, something I wouldn't dare to do.

Those data are all recognized and published in top journals, which are the most professional data for doctors.

(End of this chapter)