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Chapter 323: Perfect Coordination, Like an Old Married Couple

~7 min read 1,390 words

Xu Leyu did not dawdle either; after making a phone call, he took the Patient to the Nuclear Magnetic Resonance Room for an examination.

After the Patient was sent inside, Xu Leyu stood in front of the machine and asked, "Doctor Xiao Ji, what are your thoughts?"

"The upper arm is in extreme abduction. External force acts on the upper arm, using the humeral head as the axis of rotation and the acromion as a lever to pry the humeral head out of the joint capsule to below the glenoid fossa."

"Right!" Xu Leyu made a fist with his right hand and slammed it into his left palm. "If that's the case, standard reduction techniques won't work."

"It's not impossible, but you'd need anesthesia," Ji Xiang added.

"Right, infiltration anesthesia in multiple directions around the joint cavity and the joint is feasible. If that still doesn't work, we'll have to go to the operating room for an incision."

"We shouldn't need to. Let's look at the images first. If there's no fracture and it's confirmed to be a vertical dislocation, we can discuss how to perform the reduction."

Ji Xiang and Xu Leyu were chatting enthusiastically. Zhao Tianjiao stood to the side, unable to get a word in, listening with burning jealousy.

This wasn't a Clinical Resident Chief and a Standardized Training Student chatting; it was clearly two Resident Chiefs discussing the strategy for a difficult case.

Moreover, Chief Xu Leyu was clearly treating Ji Xiang as an equal doctor, completely lacking that attitude he usually had toward Standardized Training Students.

Damn it, I'm the protagonist! Zhao Tianjiao screamed in his heart.

But as soon as he opened his eyes, he could see the scene of Ji Xiang and Chief Xu Leyu standing shoulder to shoulder in front of the computer in the Nuclear Magnetic Resonance Room, whispering to each other.

How pathetic!

It's truly detestable!

In Zhao Tianjiao's eyes, Ji Xiang's back was filled with an evil aura, standing there like a Great Demon King.

That was his position, his!

Zhao Tianjiao was screaming in his heart.

A few minutes later, the images appeared.

"It really is!" Xu Leyu said excitedly. "No fracture, it's a rare vertical shoulder dislocation!"

"Looks like it. Let's use anesthesia," Ji Xiang replied calmly.

Damn, what a show-off, Zhao Tianjiao slandered behind his back.

"Doctor Xiao Ji, have you done this before?" Xu Leyu asked.

"I saw two cases during my internship."

"That's great, we'll do it together in a moment." Xu Leyu seemed to have forgotten Zhao Tianjiao's existence and invited Ji Xiang to perform the procedure with him.

"Okay."

Listening to the exchange between Chief Xu Leyu and the Great Demon King Ji Xiang, Zhao Tianjiao had already been burned to ashes by jealousy.

Taking the Patient back to the ward, Xu Leyu did not let the Standardized Training Students explain things to the Family Member; instead, he personally called the Patient and the Patient's coworkers into the Doctor's Office to explain carefully using the nuclear magnetic resonance images.

To make it clearer, he performed a few movements, just like the ones Ji Xiang had just done.

Zhao Tianjiao watched, feeling incredibly bitter.

Clearly, he was the heaven-favored son, clearly he was the protagonist template; how had he been outpaced by Ji Xiang again?

If he had lost in an exam or a competition, Zhao Tianjiao would accept it. But this was the Orthopedics Department, where he had spent three months and was familiar with everyone from top to bottom. And Ji Xiang, he had just arrived!

Clearly, when performing the Clavicle Fracture Internal Fixation Surgery, Chief Xu had specifically called him, but he had been focused on reviewing for his exam and had missed the call because his phone was on silent.

He hadn't expected that in a moment of carelessness, Ji Xiang would have stolen his thunder.

Damn it!

After the explanation, the preoperative informed consent form was signed, and Xu Leyu and Ji Xiang prepared the supplies to perform the reduction on the Patient.

Because it involved a relatively rare situation, Chief Xu was very cautious.

5mL of Lidocaine Hydrochloride diluted 1:1 with Physiological Saline; he glanced at Ji Xiang.

"Chief Xu, let me do it." Ji Xiang knew that Xu Leyu had done few similar procedures, so he simply took the task upon himself.

After all, he had done dozens of them in the System Operating Room and was already well-versed in it; if he left it to Xu Leyu, Ji Xiang wouldn't be at ease.

Ji Xiang habitually used a 5ml Syringe and switched to a 1ml needle.

Although pushing the medication with a 1ml needle was strenuous, it could reduce the Patient's pain slightly, so Ji Xiang was willing to go to the extra trouble.

Infiltration anesthesia of the joint cavity and around the Deltoid Muscle; Ji Xiang's technique was simple and ordinary, and Xu Leyu didn't pay much attention after glancing at it twice.

With his level, he couldn't grasp the subtlety in Ji Xiang's operation at all.

About 4 minutes later, the pain in the Patient's right shoulder improved.

The anesthesia effect was excellent, and Xu Leyu acknowledged this.

The two stood beside the Patient, and Xu Leyu looked at Ji Xiang again.

Ji Xiang didn't stand on ceremony; he gently applied traction to the affected limb in the direction of the upper arm deformity, upwards and outwards.

"Here," Ji Xiang said to Chief Xu.

Chief Xu was no novice; he immediately understood what Ji Xiang meant.

He pushed the humeral head under the axilla toward the glenoid fossa, while Ji Xiang performed traction and adducted the upper arm to reduce it.

The two worked with tacit understanding; Zhao Tianjiao was as furious as if he had been cuckolded.

"Click—"

A crisp sound came through.

Xu Leyu was pleased and relieved, while Zhao Tianjiao continued to be reduced to ashes.

He had just used all his might and hadn't heard the "click" sound, yet after Ji Xiang stepped in, the problem was solved so quickly.

Truly, damn it!

"It's done, try moving it," Ji Xiang said to the Patient.

"So fast?" The Patient was stunned for a moment.

"Yeah, try moving it, don't make any sudden movements, just a little is fine," Ji Xiang instructed.

The Patient was full of suspicion and tentatively lifted his right arm.

The right arm, which just a moment ago had been completely powerless and felt as if it didn't belong to the body, was instantly completely healed!

The Patient moved it in disbelief, then moved it again, as if reborn.

"Alright, don't move for now." Ji Xiang pressed the Patient's arm down and began the final check.

After successful reduction, the passive range of motion of the shoulder joint was normal, the glenoid was full, the square shoulder deformity had disappeared, and the Dugas Sign was negative.

"General Manager Xu, it's done." Ji Xiang smiled.

"Not bad." Xu Leyu was quite satisfied, "I'll take the Patient to get an X-ray to see."

General Manager Xu was very cautious, and Ji Xiang didn't say anything; if he wanted to look, let him look, it would be good to take a look and confirm it.

Although there was no System Task for treating this Patient, Ji Xiang was still very happy, especially when he heard that "click" sound at the end; it was just like the sound of a System Task being completed, crisp and pleasant.

"I'll tidy up." Ji Xiang, wearing gloves, took on the finishing work.

General Manager Xu felt a little embarrassed; he chuckled, but didn't stand on ceremony and took the Patient to go for the examination.

While tidying up the aftermath, Ji Xiang carefully recalled the rare case he had just experienced.

"Ji Xiang, impressive!" Lu Kai hadn't left; he was tidying up with Ji Xiang, and Lu Kai laughed, "You didn't see Zhao Tianjiao's expression after the successful reduction; it was truly unsightly!"

"That wouldn't be the case." Ji Xiang smiled.

"Don't overestimate human nature." Lu Kai reminded him, then realized, "Ji Xiang, there's no need to be so cautious."

"Cautious? What caution?"

"Speaking ill of people behind their backs." Lu Kai said, "I just can't stand Zhao Tianjiao; looking at him, he really thinks the hospital is his family's."

(End of this chapter)

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