Chapter 121 Desperate opponents, Doctor Shan, let me try(3/3)
Someone quietly exclaimed.
Several standard trainees felt desperate. The competitors were so strong that they were outrageous, how could they compete?
Fortunately, there are six places in the operating room.
What they most hope for is that among the eighteen rule-cultivated students, Zhou Can is the only monster.
"Don't move, I'll check it!"
She squatted down and carefully examined her face, showing an incredible expression.
The puncture was successful in one shot.
"Well, it's done well. After piercing into the knee joint cavity, you need to extract the fluid inside the joints first."
She personally demonstrated the operation.
"After drawing joint effusion, inject about 0.25% lidocaine about 10ml."
The purpose of injecting anesthetics is to facilitate subsequent treatment.
"This medicine solution contains about 5mg of triamcinolide. It mainly injects the patient's pain points. Then it helps the patient move the knee joints so that the drug effect can be fully utilized."
Dr. Shan kept observing the patient's reaction.
The efficacy of the medicine should have already come into effect, and the patient will no longer cry out for pain.
"Grandma, your treatment will be conducted in five times. You will come to the hospital for a second treatment in a week."
She said to the old man.
The old man couldn't feel knee pain now, and she seemed very happy.
"Thank you, thank you!"
The old lady thanked Dr. Shan and Zhou Can repeatedly.
Although she is old, she can tell who cured her.
"Miss, I'm old and have a bad memory. Can you tell my son again later?"
"Okay! We will remind your son later!"
After treatment, the patient was pushed out of the operating room.
Dr. Shan looked at Zhou Can, and then glanced at other regular students.
"This treatment is generally carried out in five times. The first two times are injected with the medicine just now. The third time is to inject the sodium hyaluronate mentioned by Dr. Zhou Can. The difficulty in treatment should be the puncture of the joint cavity. You need to see more, think more, and practice more yourself."
She was still a little embarrassed when she remembered the joint cavity puncture just now.
Until now, she doesn't know why she always fails in puncture.
This situation rarely occurs normally.
I asked Zhou Can directly, and I was embarrassed to speak out if I killed her.
But this is not a problem for her smart ones.
"Dr. Zhou, please share with you the successful puncture experience just now."
"OK!"
Zhou Can took a deep look at Dr. Shan.
Zhou Can naturally knows her little Jiujiu.
I also secretly admire Dr. Shan’s speech skills.
The director Shen spoke very well yesterday, so the apprentice brought by Director Shen was naturally not much short of it.
"I can successfully puncture, first of all, it must be because of luck. Then Dr. Dan mentioned that the patient's joints have lesions, which may cause some changes in the bones, or even serious distortions. So I touched it and found that her joint cavity was narrowed. During puncture, I deliberately chose a position closer to the middle line a little higher."
Zhou Can rolled up his trousers and demonstrated it to everyone.
After hearing this, Dr. Shan suddenly realized.
I see.
No wonder patients with severe joint lesions have failed in the puncture several times.
Each patient has different joint lesions.
The old lady just now should belong to a relatively rare type.
Zhou Can said it humbly, saying that it is mostly luck.
In fact, she knew in her heart that she was taking care of her face without any trace.
Her favorability for Zhou Can has also increased a lot.
"Okay! Thank you Dr. Zhou Can for sharing. Let's continue to see the examination report of the third patient."
The patient's examination images displayed on the light curtain are performed with two types of examinations: MRI and X-ray.
Generally speaking, the price of MRI is not cheap, and doctors with a little professional ethics will not give patients such examinations at will.
This examination will only be prescribed when the cause is unknown, or if the doctor thinks it is necessary to go further.
And when it is opened, we will discuss with the patient.
Ask the patient for comments.
The inspection report showed that it was four or five minutes, but no one answered it.
Because the patient's condition is very complicated.
After two rounds of quick answers, everyone understood one truth: it would be better to answer better than to answer better than to answer.
"Can no one understand?"
Dr. Shan seemed quite happy.
Finally had the opportunity to reshape her authority and position as the leader.
This group of students who are not able to understand the rules, and she will explain it later, which will show that her level is very high.
I was so ugly when I was pierced just now, which was somewhat of a shameful face.
"I only saw that the patient's finger extension tendon was ruptured, and the patient's joint seemed to have rheumatoid arthritis?"
Zhou Can was also a little confused.
This involves knowledge of orthopedics, and it is really embarrassing to ask him a small-court student to answer.
"I also think it's a ruptured finger tendon caused by rheumatoid arthritis."
Another student of the rules agreed with Zhou Can's opinion.
I guess he is like Zhou Can, and he is not sure.
Rheumatoid arthritis in the hands is very harmful, and it can easily cause rupture of the finger extension tendon.
Many patients do not lift heavy objects or crack severely in their daily lives.
I heard a "cry" sound, as if the rag was torn apart.
Then the hand hurts severely and loses the ability to grasp.
How painful can this pain be? It is the pain of being too big and pulling into the crotch, which is a tear-like severe pain. It is a persistent and severe pain that is unbearable.
In this case, it is mostly a tendon tear.
Chapter completed!