System Came When the Doctor was Thirty

The trauma surgery's X-ray interpretation capability can be said to be the strongest within the surgical system, and the orthopedic-related specialty film reading is even more of a content within the specialty.

Lu Cheng used his hand to gesture and draw the path of the tendon on the plain film, which indeed felt a bit overwhelming for the two.

Not being able to see doesn't mean they don't understand what Lu Cheng is saying. Huang Jianjun, having mixed in trauma surgery for so long, of course knows there are some impressive professors whose film reading skills are extremely high, far exceeding what he thought was unbelievable.

"This is my guess." Lu Cheng answered cautiously.

Medical film reading proficiency is similar to that of ordinary people; a thousand people a thousand faces, it's quite hard to clearly explain to what extent one can see.

Some people, after reading countless films, can do it from mind without marks, while some eccentric ones can even make the real world seem without marks...

What you see is what you get, just as no one can accurately describe what green looks like to someone who is red-green colorblind.

"Can it be handled?" Wu Xiang suppressed his discomfort and directly asked about the result.

"It's quite tricky, needing to separate the humerus from the locking state, then using a normal repositioning technique to carry out the relocation." Lu Cheng didn't say it's impossible.

"Then let's try one last time." Wu Xiang stepped out.

Not doubting those whom you use, and not using those whom you doubt, is a fundamental quality every leader must possess.

If you don't trust Lu Cheng, you shouldn't even let him into the operating room.

Lu Cheng didn't move, instead he continued approaching the hanging whiteboard film reader: "Wait a moment, Director Wu, I'll check again for any labral injury."

Huang Jianjun finally couldn't hold back, muttering: "Is this even human speech?"

Wu Xiang, being older, is more accepting of eccentrics, even more accepting of young eccentrics. He glanced at Huang Jianjun and after Huang Jianjun fell silent, he lowered his hands, standing beside Lu Cheng.

He's not the first in the hospital to trust Lu Cheng nor the first to question Lu Cheng's ability.

But so far, those who trust Lu Cheng still do, while those who questioned Lu Cheng are becoming fewer, which in itself is a testimony.

Chinese people don't mind connections, they just like to mock those incompetent connected ones.

Lu Cheng hasn't become the hospital's gossip, surely he is capable.

As Wu Xiang pondered in his heart, Lu Cheng turned and said: "The situation of the labrum is okay, Director Wu, will you operate or shall we do it together?"

Lu Cheng's tone was elusive, his demeanor was that if you just nod slightly, I can turn around and walk away.

"Together then. Let's try two more times." Wu Xiang nodded, suppressing his inner emotions.

"Come on, come on, everyone lend a hand..."

Once Wu Xiang made the call, Lan Yuan and Huang Jianjun immediately positioned themselves at the head of the surgical table to perform the fixing work during the stretching process.

The basic principle of joint relocation is actually quite simple, it's just about fully stretching and separating the joint, ensuring the joint is relatively separated without compression and then repositioning the joint.

As the main operator, Lu Cheng needs to use more force. Seeing Lu Cheng start the procedure, Wu Xiang didn't stay idle.

He identified the patient's forearm, grabbed it with both hands, and pushed and pulled parallelly in the direction of Lu Cheng's force, without adding any personal agendas.

Lu Cheng immediately felt the sustained traction force being superimposed, surprisingly glancing at Director Wu Xiang.

Director Wu's professional ability is indeed potent, even Lu Cheng himself cannot instruct others on how precisely to superimpose the traction, normally it was always Lu Cheng relying on his own strength for manual relocation.

This is also a kind of insight, personalized understanding of small techniques, looking after surgery to see if there is a chance to pull this over.

"Should we continue traction?" Wu Xiang, actively pulling, saw the patient's left shoulder was already being stretched to a quite unusual position, yet Lu Cheng hadn't called for a stop.

Lu Cheng held with one hand, quietly exploring locally with the other: "The position is still not enough, the tendon tension is okay, continue pulling."

Just as Lu Cheng finished speaking, the humeral head suddenly escaped from the entangled lock state, the rounded humeral head pressed against the arm's skin, showing a protruded point.

At the moment of compression release, a noticeable bounce sensation was transmitted into everyone's palm.

"Got it!" Lu Cheng immediately eased off the force, instructing Wu Xiang: "Director Wu, you can slowly release the force, I'll proceed with the main relocation."

Joint relocation is really about slowly taking and releasing.

A high-quality joint relocation is more about pulling and over-stretching then putting the joint back in.

Of course, during relocation, Lu Cheng isn't simply using both hands to pull, he's still operating with one hand, whilst his left hand keeps pushing the humerus…

The technique is quite tricky and hard to fathom, not purely a modern medical relocation method.

Under the joint effort of several strong men, the joint traction is adequate, with Lu Cheng alone easing and pushing, the humeral head easily started going back along Lu Cheng's direction.

At a certain moment, Lu Cheng said: "Director Wu, let go!"

Wu Xiang instantly released the force.

Lu Cheng's left hand pushed in a specific direction, and the familiar dull "snap" of joint relocation was heard by all.

After Wu Xiang and the others released their grip, Lu Cheng didn't step away immediately, but started a passive range of motion inspection of the shoulder joint.

Then conducted another local palpation of the shoulder joint to confirm if the joint wasn't falsely relocated.

"Stop touching, this surely went back."

"Push the C-arm!" Wu Xiang laughed and instructed Lan Yuan.

The C-arm machine is a specialized small X-ray device in the operating room that's convenient to move, enabling temporary assessment of joint dislocation or fracture relocation, commonly used in orthopedic operating rooms.

Only then did Lu Cheng release his grip: "Director Wu, I just wanted to make sure it wasn't a misjudgment."

After the local deformity caused by joint dislocation disappears, there's a high probability of successful relocation, though there's a small probability of false relocation.

Lan Yuan pushed the C-arm machine in, everyone ritually exited the operating room.

After stepping on the foot-operated valve, the display screen shows a simple plain film.

Lu Cheng didn't crowd in to look this time, instead, after a few glances, could determine it was a normal shoulder joint.

Whether joint relocation is successful or not is relatively easy to judge.

Combining the previous physical exam, Lu Cheng already had nine out of ten confidence, leaving the rest to fate: "Director Wu, relocation seems proper."

"Whether there's soft tissue damage like rotator cuff will need subsequent observation."

Wu Xiang nodded: "Not bad, the shoulder socket is full, the humeral head in place."

"Lan Yuan, go adjust the position, take another oblique shot... "

A few minutes later, Wu Xiang and Lu Cheng walked out of the surgical building together. Lu Cheng had changed into his clothes, while Wu Xiang was still in scrubs.

"Lu Cheng, regarding the labor fee, I'll give it to you privately. Anyway, it's not much, no need to report it." Wu Xiang whispered.

"Director Wu, no need. It's just lending a hand. Fees should be charged at your discretion." Lu Cheng quickly shook his hand.

"Our department doesn't charge for this, anesthesia fees are assigned to the operating room, hence it's not suitable for reporting."

"But what should be given must be given, rightfully so."

Wu Xiang said this as he wet his lips: "It seemed like you used traditional Chinese medicine technique during your maneuver, did you ever learn TCM relocation methods?"

Wu Xiang was keen-eyed, and Lu Cheng didn't hide it: "My uncle works at Long County Traditional Chinese Medicine Hospital, and there's an old orthopedic expert who gave me a book."

"I've superficially learned for a while."

Modern medicine doesn't particularly oppose TCM's manual relocation techniques, this matter can be tracked and traced, no need for Lu Cheng to conceal.

"Dr. Lu is indeed widely versed, exceptionally brilliant."

"Alas, such a pity, our fate is rather shallow." Wu Xiang shook his head, exhaled, his old face full of regret.

Lu Cheng came previously, Wu Xiang naturally wouldn't doubt it, having rejected dozens upon dozens of job seekers, he couldn't remember them all clearly.

Being ignorant at times was normal too.

He had already asked Lu Cheng about thoughts of returning previously, and Lu Cheng directly declined, so Wu Xiang wouldn't dream himself as the destiny's chosen, move mountains and rivers, with people following.

Lu Cheng then said: "Director Wu, meeting is fate, meeting again means our fate is deep."

"Thanks for your support in rebuilding the trauma center."

Wu Xiang suddenly said: "You mustn't treat today's matter as a transaction, okay?"

Lu Cheng was stunned, laughed: "Definitely not, Director Wu."

"Hmm, work well, strive to build the trauma center to a greater height. Fulfill its rightful mission."

Wu Xiang's tone was dominating: "Working for money isn't disgraceful, remember to collect it. Don't break the rules."

"I still need to communicate with the family, so I won't waste more words with you."

Wu Xiang immediately turned around, no longer entangling.

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