When the Doctor Uses A Hack

Chapter 419: Chapter 419: Manual Reduction

Dongyang Province is a region with distinct seasons.

However, the lingering power of the autumn “tiger” was still fearsome.

People who had started wearing thermal underwear gradually began to feel the heat again.

But by evening, the weather would turn cool abruptly, with the temperature difference between day and night becoming more and more pronounced.

Around six o’clock, when it was almost time to get off work, a figure had been pacing back and forth outside the emergency room office for a while but hesitated for a long time without daring to enter.

Nurse Xiaolin looked outside and said to Chang Lina, “Sister Na, there’s someone lingering outside the emergency room, but… they don’t dare to come in for quite some time.”

Chang Lina, bolder than Xiaolin and known for her forthright and fearless nature, might not always watch her words, but she was tough as nails!

In Xiaolin’s words, had she lived in ancient times, she would have been a heroic bandit—no! A chivalrous woman who robbed the rich to help the poor.

Driven by curiosity, Chang Lina immediately suggested, “Shall I go have a look?”

As she spoke, she got up and walked out towards the emergency room entrance. Once outside, she saw a vagrant pacing at the door, vacillating but not entering.

Clad in tattered clothes, the vagrant exuded a foul odor detectable from a distance of three to five meters. His clothes were frayed, layer upon layer, and his hair unkempt.

He dragged along a pile of recyclables, including cans, cardboard, and plastic water bottles, seemingly all his possessions.

Pedestrians on the road steered clear of the vagrant at the sight of him.

Upon seeing Chang Lina emerge, the vagrant immediately turned, as if startled, and began to drag his belongings away.

Chang Lina paused, then quickly called out, “Hey, wait a moment!”

At the shout, the vagrant hesitated before taking a couple of steps forward and then stopping.

Chang Lina called out, “Is there something I can help you with?”

Indeed, this kind of situation was quite common in the emergency room, with beggars, vagrants, or individuals with mental illnesses often showing up at the entrance.

Emergency room security guard Qin Taishan saw what was happening and hurried outside, saying to the vagrant, “Is there something wrong? If there’s no issue, please move back to where you were. This is the emergency room; don’t block the safety corridor.”

The vagrant nodded quickly at this and began to move aside with his belongings. However, it appeared that he was unable to lift his left arm.

Qin Taishan shook his head; such matters were not his responsibility. He would just turn a blind eye.

At this precise moment, it was six o’clock, and there were many staff leaving work. Seeing the vagrant, the departing crowd likewise gave him a wide berth.

Seeing him unresponsive, Chang Lina sighed and, deciding not to meddle further, returned to the emergency room lobby.

After handing over their shift work, Qin Yue and Wang Qian were ready to leave. Looking towards Chen Cang, Wang Qian said, “Let’s go!”

After reaching the emergency room lobby, they suddenly noticed that the vagrant outside had circled back. This time, however, he seemed to be empty-handed, having left his assortment of items in a corner before coming back.

But there he stood at the door, still not daring to enter.

Immediately, Chang Lina spoke, “Doctor Chen, that man has been at the door for quite some time; I think there might be something wrong with his arm.”

Hearing this, Chen Cang hesitated before saying to Qin Yue, “Wait for me for a moment.”

With that, he stood up and walked towards the outside.

The vagrant quickly moved aside upon seeing Chen Cang emerge, not daring to obstruct his way.

But Chen Cang was deliberately seeking him out.

As he approached, Chen Cang inquired, “I am a doctor from the Second Provincial Hospital. Do you need any help?”

The vagrant took out a plastic bag of instant noodles from his pocket, unfolded it, and revealed a white plastic bag inside filled with one and five yuan notes as well as a large amount of coins. Chen Cang estimated that it was probably around two hundred yuan in total.

The vagrant handed the money to Chen Cang, uttering, “Ah ah oh uh… um ah…”

Chen Cang was taken aback. Was this man mute?

The vagrant grew anxious, pointed to his arm, tried to exert some force, and indicated that he couldn’t move it.

Chen Cang asked, “You can’t move your arm?”

The vagrant nodded vigorously, “Mhm, mhm, mhm!”

Chen Cang hesitated for a while, his habitual thinking reminded him, “Let’s get an X-ray!”Nôv(el)B\\jnn

Chen Cang said, “We need to do an X-ray to see if there’s a fracture.”

The homeless man quickly shook his head, not wanting to go inside; then he stepped back and pointed at his body, seemingly saying: I won’t go, I’m filthy, I’ll dirty the floor and the machine.

At this moment, Qin Yue came out, and the homeless man immediately stepped back several more feet, as if terrified of choking the girl.

Seeing this, Qin Yue approached: “We need to see if your arm is fractured.”

The homeless man shook his head: “Ah… Uh-huh!”

He gestured with his arm, pulling it downwards.

Chen Cang was startled, Was it dislocated?

Realizing this, Chen Cang remembered that he knew how to manually reduce a dislocation, so he said to the man, “Come here, let me feel it and see what’s wrong, and if it hurts, just call out.”

The homeless man hesitated, then pointed at Chen Cang’s hand and then at his own arm, shook his head, and made a glove gesture.

It seemed he was saying: I’m very dirty, don’t get your hands dirty, please wear gloves.

Chen Cang momentarily felt a softness in his heart and smiled, shaking his head: “Don’t worry, I’ll wash my hands afterward.”

The man hesitated, then tried to take off his outer clothes, but he couldn’t manage it; after all, his left arm was drooping and immobile, and his right arm was also struggling in vain.

Qin Yue stepped forward, not minding the dirt, and directly unfastened the buttons, helping him take off his clothes.

Seeing this, the homeless man suddenly started to cry silently, without speaking.

Once his arm was exposed, Qin Yue turned to Chen Cang and said, “Shall I call Xue Liang from orthopedics?”

Chen Cang shook his head: “Let me check first.”

As he spoke, he lifted the man’s arm and pinched it here and there, constantly asking, Does it hurt?

After exposing the shoulder, Chen Cang saw the obvious depression in the homeless man’s left deltoid muscle, which was… a typical squared shoulder deformity. Upon pressing the axilla and infraglenoid tubercle lightly with his hand, Chen Cang could feel the displaced humeral head, and moreover… the glenoid was empty!

This should be… a dislocated shoulder, shouldn’t it?

Chen Cang had made a tentative diagnosis.

Then, Chen Cang tried to lean his left hand onto his right shoulder and found he couldn’t lay it atop; the touch-the-shoulder test was positive!

Now, it was confirmed that there was a shoulder dislocation. As for a fracture… it was hard to say, but seeing the symptoms, it was unlikely, though to know for sure, an X-ray would be needed.

However, the homeless man was adamant against entering the hospital, running away at the mention of it, and Chen Cang was at a loss.

Let’s reduce it!

Thinking this, Chen Cang quietly stabilized one hand on the acromion, while the other hand held the patient’s left elbow, slowly and continuously applying vertical traction with external rotation. Suddenly exerting force, he immediately felt a sensation of the joint slipping into place!

It’s in!

The homeless man, seemingly accustomed to joint dislocations, did not show too much discomfort.

As he was about to move, Chen Cang quickly stopped him and, using the man’s own clothes, fashioned a sling to stabilize his arm.

“You’ll need to keep it immobilized for a month, and don’t move it around.”

Seeing this, the homeless man nodded eagerly, trying to stuff a couple of hundred dollars in change into Chen Cang’s hands.

Chen Cang quickly refused.

Qin Yue wanted to help the homeless man put his clothes on, but he hurriedly ran away.

So they had to give up!

However, they saw the homeless man run about seven or eight meters away before suddenly kneeling on the ground and kowtowing to Chen Cang and Qin Yue.

In no time, the growing crowd of onlookers began taking out their phones to take pictures.

Seeing this, Chen Cang and Qin Yue quickly ran into the emergency hall.