2/8(木)
◆今日の気持ち
(整形外科 2週目)
・肩こりからか、両手尺骨神経支配域がしびれている。血ガスがうまくとれずショック…。自分の状況は放置していたが治療をはじめることにする。
・ロッカーの鍵をなくす…。手術着に紛れ捨ててしまったか?
・糸結び、なかなか習得しきれず…。緩ませるやり方と緊張させるやり方と、二つに大別し頭を整理。
●目指す医師像
まずは、医者
●今の目標
・整形外科を味わいきる
●今日の新患・診断
・肘脱臼
・尿管結石
・OA
・趾骨折
・小児鎖骨骨折
・半月板eniscus損傷
●今日の病院滞在時間
7時半〜当直
●今日行ったこと・見たこと・知ったこと
・頚椎狭窄症ope
・肘脱臼整復
・左趾骨折整復 末節骨基節骨中足骨
・膝関節内ヒアルロン酸注射
Patella内側を強く押し、てこの原理で外側を開く。隙間を確認し注射。指で関節内の圧力を感じながら。スーッと入るなら、きちんと入っている。不自然な抵抗を感じたら少し引いてみる。終ったら、声をかけつつゆっくり抜く。
・足テーピングは足底の内からのぼり外に向けて
・鎖骨骨折にクラビクルバンド
・ヘルニア →姿勢維持困難、
腰痛 →体動時痛
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