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Pain is a kind of feeling, and the basic conditions for producing pain are that the nerves are intact and there is a relatively complete reflex arc.

Dislocation will cause pain. This is one of the orthopedic definitions of dislocation, and it is definitely not wrong.

And the expression on the child's face at this moment must be real. It is impossible for a child to pretend to be strong like an adult -

No, the child was about three years old and could already speak. When Zhou Cheng and Du Yanjun opened the door, they saw two people in white coats walking in. They immediately put their arms into his mother's arms and started crying.

She was still shouting: "Mom, mom, no injection, no injection."

"I don't want injections."

I guess I was frightened by the pain of getting an injection every time I saw a white coat, which left me with the white coat reaction.

"No injections, baby, I really don't have any injections today, okay? Let's check with the doctor to make sure there are no injections, okay?" The child's mother quickly hugged and comforted her.

"Qiqi, there are no injections today. Our family Qiqi is the most well-behaved and doesn't cry." He didn't know whether it was his grandma or grandma.

Another old lady said: "Qiqi may have felt the need for an injection after seeing the doctor. She was afraid of the pain. She was so good before and didn't even cry."

The two people surrounded the child, blocking the two white coats of Zhou Cheng and Du Yanjun. The child gradually stopped crying, but there were still tears in the corners of his eyes, feeling extremely wronged.

But his grandma and grandma felt very distressed and kept patting him and whispering.

The child's father walked towards Du Yanjun, while his grandfather and grandpa stood not far behind his father.

Du Yanjun quickly replied to Zhou Cheng and said, "Brother Zhou Cheng, I have had a physical examination. The child must be feeling pain."

"I pinched the child's arm lightly before, and he responded."

Du Yanjun would naturally not make such a stupid mistake.

Zhou Cheng frowned immediately.

If the child feels pain at the distal end of the dislocation, then it is quite rare that the dislocation of the shoulder joint does not hurt.

Sensation exists linearly, and there is basically no staged sensory loss. Even if it does occur, it is characterized by truncated levels.

That is, if you are far away from this level, there is no feeling. But if you are close to this level, the feeling is normal.

There is absolutely no situation like this child, where the distal sense is present but the proximal sense is missing——

The feeling of nerves is the same as the current. A wire can only have current at the proximal end close to the power source, but not at the far end.

It is impossible for a current to appear in a sudden manner such that there is current at the far end but no current at the near end.

If there is, there is definitely a problem.

Before he had time to think about it, the child's father said: "Doctor Du, does my child need surgery in this situation? When can he be hospitalized?"

Earlier, Du Yanjun told them that manual reduction will not only cause severe pain, but also very likely that the reduction will not be achieved.

Although they were very reluctant to have their child undergo surgery, he felt that it would be the safest if the surgery could be done once and for all rather than subject him to unreasonable torture.

Du Yanjun looked at Zhou Cheng. Patients with joint dislocation were basically left to Zhou Cheng and Luo Yun to handle in the department.

If Zhou Chengdu was not sure, he could only ask Luo Yun to come to the department.

Du Yanjun himself didn't know much about dislocation patients, so naturally he couldn't decide by himself whether to be hospitalized in the next step.

Zhou Cheng said, "Don't rush to talk about the hospitalization. I'll take a look at the baby's film and do a detailed physical examination on him."

Although Du Yanjun said that he had completed the physical examination, Zhou Cheng decided to do it again himself to avoid any accidents.

Because even Cai Dongfan and the others didn't know about some special joint surgery examinations, let alone Du Yanjun.

Industry specializing in surgery.

The child's father looked at Zhou Cheng and frowned slightly.

Du Yanjun immediately explained to the patient's family: "This is Dr. Zhou from our department. Basically, he is responsible for and handles all patients with joint dislocation."

The patient was slightly enlightened when he heard this. Zhou Cheng looked young, but since he was a professional in dealing with this kind of patients, he was probably more professional than Du Yanjun.

It's just that she's still too young.

But he whispered in his mouth: "The director of your department, couldn't you please come over and see my child?"

The child's father was wearing a shirt and jeans, his face was quite gentle, and his speech was polite.

Zhou Chengcheng said: "It's lunch time now, and the directors have already gone off work to have dinner. We will only bother you if there are patients that our lower-level doctors can't handle. Please understand."

An old man behind the middle-aged man said: "It's past twelve o'clock now, it's dinner time, so let's see this doctor first."

Zhou Cheng immediately went over, got in front of the child, and winked at him to show goodwill. But when the child saw his white coat, he immediately pursed his lips and started crying. Maybe in the child's world, the white coat is the most important thing for children.

It’s the code name for how painful it is.

The child's mother hugged him gently and said to Zhou Cheng: "Doctor, I'll keep an eye on the child. Please be gentle when you examine him."

"Yeah!" Zhou Cheng could only nod.

Then I started to do the examination. When I first met the child, the child kept struggling and cried so much that he felt aggrieved.

However, when he discovered that Zhou Cheng didn't feel any pain at all during the examination, he slowly stopped crying and struggling. He only sobbed occasionally, pursed his lips, and put on a show of "If you dare to give me an injection, I will give you an injection at any time."

They all looked like they were crying.

Zhou Cheng completed physical examinations related to shoulder joint dislocation, and then looked at the film, and his heart suddenly skipped a beat.

Needless to say, based on the existing physical examination or X-rays, one thing is very certain, that is, the child's shoulder joint dislocation is bound to exist.

And his pain function is also normal.

Then this is not normal!

The child's father saw Zhou Chengquan finishing the examination, but his brows were furrowed and he didn't say a word. However, he didn't almost panic him to death. He quickly lowered his voice and asked: "Doctor, how is my son?"

The others also looked at him nervously with wide eyes.

But Zhou Cheng said: "Let's go to the office and talk in detail. You leave one or two people to look after the children, and everyone else comes with me. Those who usually have more children, it is best to come to the office."

"The main thing is that the child's grandmother and I take care of the child more. Dad, dad, you two can watch the child while the four of us go with the doctor." The mother of the child said quickly after hearing this.

The two old men suddenly felt rejected, but looking at their grandson's shoulders, they nodded and said nothing more.

After Zhou Cheng brought the child's parents and grandmother to the office.

The child's father asked anxiously: "Dr. Zhou, please tell me directly what's going on with my child. I'm so worried and scared."

Zhou Chenggong said: "I just did a physical examination on your child and found that the shoulder joint was empty when palpated, and the humeral head could be clearly touched, fear sign (+)."

"What does this mean?" The child's father was confused. Of course he didn't understand such a professional term, so he immediately interrupted. He seemed to be impatient.

"That is to say, the child must have joint dislocation."

After Zhou Cheng finished speaking, he immediately changed the subject: "But the child didn't cry or fuss, which means he couldn't feel the pain here."

"Joint dislocation is very painful, and even adults may not be able to bear it."

The expressions of the child's family members suddenly changed slightly.

This seems to be the case. When they brought their children here, they didn't cry except when they saw Du Yanjun. They also praised their babies for being obedient and sensible.

Unexpectedly, this point has now become the biggest doubt.

"So I would like to ask, has the child had any other diseases or particularly strange behaviors before?"

When the child's mother heard Zhou Cheng's words, she frowned: "Doctor, I remembered what you said. It seems that I have noticed this a few times in the past, but the shoulders don't look normal.

when."

"And I'm not very willing to move."

"But after a while, when my child was playing by himself, the shoulder area returned to normal. I thought it was nothing."

"Is this a big problem?" she asked quickly, blaming herself a little.

The child's father glanced at her, and she lowered her head slightly.

The grandma and grandma behind her looked unnatural.

After hearing the words of the child's mother, Zhou Cheng was basically sure of the child's problem, and he was closer to the diagnosis he was considering.

According to the definition of orthopedics, joint dislocation is very painful, but there are also extremely special cases.

That is recurrent joint dislocation, or habitual joint dislocation. For such patients, when dislocation occurs, it will not be particularly painful, and it may even be pain-free.

Even more violently, patients with habitual joint dislocation can restore the dislocation themselves after they dislocate themselves——

However, this kind of fierceness and awesomeness is not a good thing.

"When does it usually happen? Has he been injured today?" Zhou Cheng continued to ask, but he still didn't express his guess. He had to make sure before speaking.

Du Yanjun stood by as if listening to heavenly scriptures, but he also stood by and listened carefully.

It seems that the books I brushed are of no use at this time.

I secretly regretted it, why didn’t I read those books earlier?

Glancing at Zhou Cheng, I found that Zhou Cheng's brows had relaxed, probably because he felt confident.

There is a gap that is not so pleasant——
To be continued...