Gou is practicing medicine in the clinic

Chapter 102 Bone touching finally started, the first talent

The nurse was very smart and didn't interrupt from the beginning to the end, but when she looked at Li Jingsheng, there was a hint of enthusiasm in her eyes.

Dr. Xu should be the well-deserved boss in the outpatient clinic of manipulative bone setting and reduction.

It is equivalent to the chief surgeon in the operating room, with a high status.

Looking at the situation, the relationship between Li Jingsheng and Dr. Xu is obviously unusual.She naturally wants to establish a good relationship with Li Jingsheng.

Don't look at the nurses who usually scold the interns, just like scolding their grandchildren, but they are well versed in the survival of the hospital.

The patient who came in this time was a little girl about 12 years old, as thin as a bamboo pole, not too short, estimated to be about 1.6 meters.

His left hand was hung in a bandage and splinted.

A man in his early 40s followed her, his temples stained with frost, and a large amount of gray hair may be seen.

Nowadays, people are generally under a lot of pressure, and they are overwhelmed with mortgages and car loans.After reaching middle age, there are old people on the top and young people on the bottom, and the pressure is even greater, as if there are several mountains pressing on the body.

Middle-aged men are afraid of losing their jobs, of getting sick, of not being able to make money.

After all, those who live well are only a few.

"Where has this been treated?"

"Treated in our local town health center."

The girl's father replied with a smile.

"Seven or eight days ago, my daughter fell on a bicycle and broke her left wrist joint. At that time, she couldn't use her left hand, and she felt severe pain even when she opened her fingers. A film was taken at the town's health center. , said it was a joint displacement, the doctor reset the film and put a splint on it, and let us go home to recuperate. In the past week, she still complained of pain, and she couldn't even turn a book with her left hand.

I heard people say that your bone setting is very good, so I wanted to take her to see it again.

In the film taken on Sunday, the doctor here told me that the child's wrist joint did not reset successfully.

Risk of disability if not corrected in time.

You didn't go to work yesterday, so I asked her off today to see you for treatment. "

On Saturdays and Sundays, many experts and chief physicians do not go to work.

If the condition is complicated, it is best to see a doctor from Monday to Friday.

The parent obviously didn't realize this, and it ended up being a wasted trip.

After Li Jingsheng listened to it, he became concerned.Dr. Xu is probably the only truly capable bone-setting doctor in the Second Hospital.

Otherwise, if the little girl came to see a doctor yesterday, she could have found another doctor for treatment.

Worshiping this master is considered a treasure.

Although Dr. Xu does not recognize him as his master now.

it does not matter.

Just like Monkey King in Journey to the West, who worshiped Bodhi Patriarch as his master, Bodhi also did not recognize him as his master.

This does not affect the skills that Monkey King has learned from Bodhi.

"Let me see the film."

Dr. Xu asked for the film from the family, looked at it carefully, and frowned slightly.

"Doctor, is my daughter's hand tight?"

The family members in their 40s have already passed their forties. When they saw the doctor's expression, their hearts sank immediately.

"You have such a big heart to be a parent! Fortunately, you came in time."

The family members were not only not angry when they were scolded, but showed a happy expression on the contrary.

He begged, "Oh, we as parents really don't understand anything. The child is only so old. If he really wants to become disabled, what should we do? Hearing what you say, it can be cured. Please take care."

After begging the doctor, he still gave his daughter a vicious look.

"Would you dare to look around next time you ride a bike?"

The little girl was scolded, but she kept her head down and said nothing.

It is almost natural that the mother is so kind and the father is strict.

Many children are afraid of their fathers.

It's just that the way of love is different.

A mother's love is softer, while a father's love is deep and heavy.

"Xiao Li, look at these two pictures. This one was taken before the treatment, and this one was taken yesterday in our hospital. You can compare them."

After Li Jingsheng took it, he compared it carefully.

He discovered that the second wrist bone was still fractured.

The structure of the wrist joint is extremely complex, composed of several bones such as the navicular bone, lunate bone, triangular bone, pisiform bone, and capitate bone.

The arrangement of the wrist bones is also extremely ingenious.

In two rows of four carpal bones.

Therefore, whether the carpal bone is fractured or dislocated, its manual reduction is more difficult than that of the shoulder joint.

The child's wrist fracture was not serious, but it was accompanied by multiple dislocations. In this case, the doctors in the township health center should not have taken care of it.

Judging from Li Jingsheng's superficial orthopedic clinical experience, this kind of surgery generally requires surgical incision and internal fixation.

In fact, everyone knows the level of doctors in the township health center.

Occasionally catch a patient with appendicitis and make it feel like Chinese New Year.

The physician who performed manual reduction on this child may have been overconfident in his technique.

The fracture was not completely reduced successfully, and there was still a large fracture line.

Not to mention misaligned wrist bones.

It was only a little better than before the treatment, and there was no successful reset at all.

Splinting the patient in this situation will only result in malunion of the carpal bones.

No wonder Dr. Xu frowned after watching the film.

"Xiao Li, check the patient first."

Unexpectedly, Li Jingsheng was asked to check the second patient.

Doctor Xu is no longer taking care of him, but cultivating him with all his strength.

He already had a lot of experience when he touched the bone of the hip patient just now, and he should be able to go further this time.

According to this trend, it is possible to practice bone touching to the entry level today.

This time, when he touched the little girl's wrist bones, he felt more carefully the subtle changes in bones, muscles, cartilage, ligaments, and subcutaneous tissue.

"She may need to remove the splint for better inspection."

Li Jingsheng looked at Doctor Xu.

"The splint should be reusable after being removed, and it can also save some treatment costs for the patient's family. Let me remove it!"

Dr. Xu seems to be strict, but he has a genuine benevolence.

In this regard, he is actually very similar to Li Jingsheng.

If a person comes to ask for help due to illness, he should not ask whether he is high or low, rich or poor, whether he is old or young, resent relatives and friends, Huayi is stupid, wise, or universal, all of them are like close relatives.This is the true heart of a doctor's parents.

After removing the splint, Li Jingsheng continued to check the patient's bone.

The little girl's endurance is very good. Even if Li Jingsheng touched her bone and hurt her, she still just gritted her teeth and didn't cry out for pain.

But her brows furrowed from time to time.

"A detailed examination as much as possible can make the effect of bone setting reduction better. If you can't stand the pain, you can take anesthesia. Anyway, you also need to take anesthesia during the reduction."

Li Jingsheng said to the little girl.

"It's okay, I'm not afraid of pain."

The little girl's voice trembled slightly, but her eyes were extremely determined.

This is a sensible child.

Knowing that it was not easy for her father to take her to see a doctor, she endured the pain no matter what, just for the sake of being cured this time and not letting her father worry about it anymore.

Li Jingsheng also tried his best to pay attention when touching the bone, but it is impossible not to cause pain at all.

Maybe because she is thinner and the skin of a child is delicate, Li Jingsheng can feel the bones, muscles and ligaments more clearly when touching the bones.

She has very few wrist muscles.

"You're so thin, you should eat more food! If possible, you'd better do some physical exercise every day."

Li Jingsheng said to her.

"The child is actually quite sensible. It's because I haven't taken good care of her in the past few years." The man hesitated before saying. "But don't worry the doctor, I will try my best to improve the food in the future so that she can eat more nutritiously."

In fact, even if the man didn't say anything, Li Jingsheng could tell that the little girl was malnourished.

It is enough to describe her current physical condition as pale and thin.

"Where is the mother of the child?"

It's okay if you don't ask, but the little girl's eye circles turned red when she asked.

"Her mother went out to work and never came back!"

When he said this, the man's face was full of bitterness, and pain flashed in his eyes.

"I'm sorry! I asked about your sadness."

Li Jingsheng quickly apologized.

The man shook his head, saying it was fine.

But the pain in his expression didn't fade away.

It must have made him very sad and sad that his wife left him and their daughter.

One can imagine how hard life is for a person who is both a father and a mother.

After more than ten minutes, Li Jingsheng finished touching the bones.

This time the harvest is greater than the previous one.

He had a feeling that he seemed to have touched some key points of the bone touch technique, but it was a little hazy as if separated by a layer of veil.

Doctor Xu took over.

He just touched the little girl's wrist bone a little, and he began to treat her.

"Xiao Li, look carefully, this is called stretching and pulling, and this is called spinning and turning!"

As soon as Dr. Xu's words fell, her wrist bones groaned one after another, and she finally couldn't help crying out in pain.

Fortunately, Dr. Xu's technique is extremely proficient and his operation is precise.

Bone-setting reduction has been completed in an instant.

"Son, don't move. I've reset it for you. If you move around and cause the fracture line to split again, you will suffer again!"

When the little girl heard this, she immediately didn't dare to move.

Just because of the brief severe pain just now, her left hand was still trembling slightly.

Li Jingsheng hurried forward to help, learning to put on the splint.

Dr. Xu patiently taught him how to operate each step and what precautions should be taken when putting on the splint.

……

A little bit of time passed, and 6 patients had undergone bone setting reduction before they knew it.

Except for one patient who only had a sprained left ankle, the difficulty of manipulative reduction was average, and the other five patients had extremely difficult bone-setting reduction.Either the manual reduction in other hospitals did not cure it, or an incision and surgical reduction were required.

Dr. Xu came to treat each of the six patients, and all six patients were treated.

Now Li Jingsheng finally understood why Dr. Xu dared to reject the dean's nephew.

Without Dean Jin, the Second Hospital can be replaced by other people. Without Dr. Xu, the manipulative bone setting clinic is basically abolished.

With real skills, it turns out that you can really ignore many workplace rules.

Of the 6 patients, Li Jingsheng had all touched their bones.

The more you touch, the more you feel.

When he touched the sixth patient just now, he was able to feel some small details of the patient's bones.

For example, the bone temperature in the affected area is abnormally elevated.

The results confirmed the presence of sterile inflammation.

This condition is more common after bone joint damage.

It is aseptic inflammation caused by bone injury.

Li Jingsheng didn't expect that his bone-touching talent would be so good, and he would make such a big improvement after touching the sixth patient.

He thinks it may be related to the fact that the proficiency of ordinary bone setting techniques has been raised to the proficient level.

After all, this is equivalent to the bone-setting reduction level of junior attending physicians.

While the sixth patient was still in plaster and the new patient didn't come in, he took a short errand and quietly opened the property panel to check.

The experience value of the doctor level has actually increased a bit. Although the increase is not much, it is also an additional gain.

Then look down.

In the skill column, 0.2/10 for getting started with Bone Touching Technique.

When he really found out that the bone touch technique had reached the entry level, he had the urge to cry with joy.

It was not in vain that he stayed up two nights to recite the theoretical knowledge of bone touching.

It can't be called reciting, maybe it's more appropriate to call it understanding and memorizing.

Because those knowledge must be understood in order to be put into practice.

I thought it would take at least half a month to a month to practice bone touching to the entry level.

Did not expect to reach so soon.

Although the entry-level bone groping technique has only grasped the superficial, the techniques and experience are still very superficial, and the bone groping effect is also very general.

Now, except for the shape, position, and temperature of the bones, other deeper information cannot be found at all.

But that's enough.

His opening condition is to practice the proficiency of a certain skill to the entry level. As long as the entry threshold is reached, he can use his life value to solve the problem of difficulty in upgrading.

Instinctively continue to check the attribute information.

Health increased from 219 to 235 points.

A full rise of 16 points.

It seems that every patient who touches the bone is equivalent to a diagnosis and treatment, which can increase the life value by 1 point.

Learned the bone touching technique, which gave him an extra 10 health points.

The bone touch technique is an advanced medical technique anyway, and it belongs to Dr. Xu's secret technique, but it only increases 10 points of life, which is a bad review.

At any rate, adding 100 health points is enough for its B rank!

"Hey! Why is there an extra bone-touching talent in the talent column?"

Talent: Five-star bone touching talent.

I thought I was just a piece of waste material, I couldn’t do anything, and I didn’t have anything left to eat.

In the past, whether he was an intern in the hospital or a formal job later, he was always the bottom one in the same department.

Even though he felt good about himself every day at that time, he thought that being underappreciated was an accident of his inhumanity, and he didn't like to flatter leaders and superior doctors.

Later, I quit my job and opened a clinic to work alone, only to realize that I am actually a bunch of 'Xiang'.

I didn't expect to have a bone-touching talent, and it was still a five-star.

This made him very happy.

What came out of his mind was that I am born to be useful, everyone has their own strengths, but you haven't discovered it...

No wonder the bone touch technique has been practiced so quickly to the beginning.

With all his efforts, he only touched seven wounded people in total.This also includes the beggar.

I don't know if the five-star talent is the strongest?
All in all it's definitely not bad.

Li Jingsheng looked at the balance of more than 200 health points, feeling itchy, and directly spent 10 health points to upgrade this highly anticipated advanced medical skill to the proficient level.

Osteoarthritis proficiency 10.2/100.

It's cool to hang up.

If you rely on bone palpation for patients to improve your proficiency in bone palpation, you will need to touch at least two or three hundred patients to reach the proficiency level.

This is still the case that he has a five-star bone touching talent.

Otherwise, you need to touch more patients to achieve it.

He found that after the bone touch technique increased by one level of proficiency, the feeling in all aspects was completely different.

Not only did I suddenly understand some doubts and difficulties in the theoretical knowledge of touching the bones, but I also gained a deeper understanding of the experience of touching the bones.

Can be more familiar with various bone touching techniques.

Osteopathic surgery is the basis of all bone-setting manipulations, and this medical skill even determines the upper limit of all bone-setting medical skills.

It is better to upgrade early than late.

Early upgrades benefit early.

After hesitating for a moment, he directly promoted this medical skill to the proficient level.

It took another 90 health points.

Originally 235 points of life balance, only 135 points left.

He felt that life points were like banknotes, never enough to spend.

Give him any amount of money.

The rest must be saved for emergencies.

After the bone touch technique has been promoted to the proficient level, with a bang, the field of view and layout are all opened up.

The comprehension and understanding of the bone touch technique is not comparable to the proficiency level.

I can even understand those deep-level skills and knowledge points.

For example, when palpating the bone, there is a process of first lightening and then heavy operation. In the past, he always thought that this operation was just to relieve the pain of the patient, so that the fracture site would not be injured by too much force when palpating the bone.

Now I have a deeper understanding.

The techniques range from light to heavy, allowing you to feel the different shapes and qualities of bones.

When you touch it lightly, you can understand the basic shape of the bone.

What you want to know when touching the bone with weight is the bone quality, including the density of the bone, the degree of connection with the subcutaneous tissue, ligaments and other tissues, and the degree of bone activity?
For example, normal bone structure, when there is no dislocation, tends to be very stable.

After a dislocation occurs, you can feel that there is a large room for movement in the bone position with a little weight, and it is wobbly and unstable.

In this way, it can be inferred whether the joint is dislocated and whether it is serious or not.

If a fracture occurs, the fracture line can be felt when the force is slightly increased, or the bone changes at the fracture end.

Such as dents, swelling, bone skin bulge proximal to the fracture, and even bone fragments.

Now he finally understands why Dr. Xu can tell if there is any fracture or joint dislocation by touching the beggar's bones.

Now, after Li Jingsheng's bone touch technique has reached the proficient level, he has initially possessed this ability.

Not only that, if he resets the bone now, he will know more about bones when operating.

As long as you touch the patient's bones, you can see the lines in your palm and build a clear picture of the bones in your mind.

Similar to high-tech X-ray scan results.

Even in some details, it is far better than the instrument scan results.

And because the bone state map is directly constructed in the brain, where is the fracture, and what is the bone position of each bone?What is the distribution of bones after dislocation or dislocation?To what extent must they be restored to be considered a successful reset...

This information will be very intuitive.

The operation is more accurate and flexible than direct operation under the guidance of X-rays.

"Xiao Li, Xiao Li! Ready to work."

Dr. Xu's call brought Li Jingsheng back to reality.

It took a long time to check the attribute panel just now. From the perspective of outsiders, he was dazed in a daze.

The patient has walked in.

This is a 21-year-old young guy, still wearing a certain group's takeaway uniform, who came alone.

He held his right hand with his left hand, with a painful expression on his face from time to time.

There are still scratches and dirt on the delivery clothes on my body. Looking at this situation, it is very likely that I accidentally fell during the delivery process.

Food delivery is a very hard industry. It comes in the wind and rains, and there is always the risk of being misunderstood by customers and giving bad reviews.

A bad review, many orders may be for nothing.

"Doctor, I accidentally injured my right hand. Just now I went to the outpatient clinic of your hospital to see the doctor. I took a picture and said that I just need to go here to reset the hand."

The little brother clipped the film under his armpit.

Although he is only 21 or [-] years old, he is very capable in speaking and doing things, not at all like an immature 'rookie' who just came out of society.

(End of this chapter)