Gou is practicing medicine in the clinic

Chapter 103 The teacher's shock, one lap, two laps, three laps

Li Jingsheng felt excited for a while, the newly upgraded Bone Touching Technique was still hot.

I happened to experience it on this takeaway guy.

However, he was not in a hurry, but calmed down, and first followed Dr. Xu and Dr. Chen to check the patient's wrist film.

It can be clearly seen that the wrist bones are dislocated, which is not particularly serious.

No obvious fractures were seen.

There was an imperceptible smile on Dr. Chen's face. The patient's wrist dislocation was not serious, and the operation was of moderate difficulty.Fight for it, maybe you can get this opportunity to practice mobile phones.

"There is no fracture, and the wrist joint is only slightly dislocated. Dr. Xu, can I help the patient reset?"

Dr. Chen made a request directly to Dr. Xu in front of the patient.

Only when you are impatient to a certain extent will you do this.

Any young doctor is eager to get the opportunity to practice.

Only practice can grow quickly.

Watching a senior doctor perform a hundred operations, the harvest may not be as good as going to the stage to sew the skin once.

Dr. Chen is so anxious, but also has a small Jiujiu in his heart.

Doctor Xu obviously favored Li Jingsheng, and he was very worried that such a good practice mobile phone would be snatched away by Li Jingsheng.

He even wants to take this opportunity to prove that his strength is not inferior to Li Jingsheng, so that Dr. Xu can also focus on training him.

"Don't worry! His situation may not be that simple."

After Dr. Xu finished speaking, he looked at Li Jingsheng.

"Xiao Li, check him out."

Dr. Chen next to him has long been holding back his anger, why should this new intern give priority to everything?
"Doctor Xu, I can also examine patients, and I can do better."

It is actually a bit too much to say this in front of patients, superior doctors and nurses.

Don't tell everyone clearly that his skills are better than Li Jingsheng?

"Then you should examine the patient first!"

Dr. Xu gave Dr. Chen a cold look, with a trace of dissatisfaction in his eyes.

The relationship between doctors and patients is inherently tense, and doctors and nurses are always cautious when speaking in front of patients. Dr. Chen's disobedience to the arrangement and rushing to perform may cause a lot of trouble.

In case of complaints from patients, everyone is unlucky.

Involution is fine, and competition is fine, but we must pay attention to the method.

Doctor Chen seized the opportunity to examine the patient, with a look of joy on his face.

Immediately walk up to the patient for examination.

"I have been practicing medicine for six years. I have cured many wounded people with manipulative reduction. You can relax and cooperate with my examination."

He introduced his qualifications to the patient.

There's nothing wrong with boasting as much as you can during your introduction.That's what every young doctor does.

Otherwise, patients and family members are likely to question you.

In the eyes of patients, practicing medicine for six years is already a senior doctor.

In fact, in the eyes of insiders, this is a junior resident physician.

Internship for one year and regular training for three years. If the examination is successful, the regular training will be completed and you will become a resident doctor.

If you fail the examination for a medical certificate, let alone work for six years, even if you work for ten years, you will be just an assistant medical bachelor doing odd jobs.

Without a medical certificate, he is not even qualified to be called a doctor.

Even if everything goes well for Dr. Chen, if he has been working for six years, he only has two years of residency experience.

This is a junior resident doctor.

The takeaway guy obviously doesn't understand these things. Hearing Dr. Chen's self-introduction that he has six years of work experience, he immediately has a high degree of trust in Dr. Chen.

After some inspections, Dr. Chen confirmed in a serious manner, "It is consistent with the X-ray examination, and no abnormalities were found. It should be possible to perform manual reset treatment."

After all, some doctor-patient communication experience did not speak too much.

"Doctor Xu, you see that I can now..." Dr. Chen was eager to make contributions and ignored Dr. Xu's previous reminder.

Dr. Xu made it clear that the patient's situation is not that simple.

"You are eager to help the patient, and this is a good intention. Don't worry, let Xiao Li also check the patient to make sure that there is no problem, and then it will not be too late to reset the bone. The most fearful thing about the manual reset is that there are hidden dangers that cannot be done in time. It was found that this would bring hidden dangers to the treatment."

Dr. Xu taught Dr. Chen earnestly and earnestly.

When Li Jingsheng walked in front of the patient, he was already very hungry and thirsty for the proficient bone touch technique.

"I'll check you again, it may hurt a little, if you can't bear it, we can give you anesthesia. But it's better to wait until the inspection is over before giving you anesthesia. Because the pain can provide a great benefit to our doctor's examination. diagnostic aid."

"It's okay, you can check it for me! I can hold back. Now I hope to get better soon and go back to work soon."

The takeaway boy is not afraid of suffering or pain, but he is afraid of delaying work.

A day off is worth hundreds of dollars!
"We will definitely formulate the best treatment plan for you, please rest assured."

While Li Jingsheng was speaking, he had already started to touch the bones of the delivery guy.

When Dr. Chen examined the patients, he simply fumbled indiscriminately.Dr. Xu obviously didn't teach him the bone touch technique.

Once Li Jingsheng got started, he was very different immediately.

Very targeted when touching the bone.

Step by step, he kept in-depth exploration of the bone position, ligament, bone quality, muscle and other information he wanted to obtain.

Dr. Xu stood opposite and watched Li Jingsheng touch his bones, his eyes froze for a moment.

He found that this kid's progress was not a little bit fast.

When I touched the bone of the previous patient, I could already feel the abnormal increase in bone temperature, and finally found that the patient's joint injury site had already had aseptic inflammation.

This breakthrough alone surprised and shocked Dr. Xu.

Now watching Li Jingsheng's movements and progress, Dr. Xu was horrified to find that this kid seemed to have made greater progress.

But he wasn't sure either.

After all, it's too magical.

No matter how talented the talent is, it's impossible to be so strong all at once, right?

After this kid has finished touching the bones, he will know the depth of the conclusion by looking at it.

Li Jingsheng is currently enjoying the 'perfect' experience brought by the proficient bone touch technique to his heart's content.

Compared with the entry-level, that is simply the difference between heaven and earth.

When palpating a bone, the amount of useful diagnostic information that can be obtained is unimaginable.

I won’t talk about touching the bones before getting started, it’s purely a pony crossing the river.

The entry-level touch bone is better than no entry, but it is only slightly stronger.Basically, it's like watching flowers on horseback.The diagnostic information available is extremely limited.

Li Jingsheng managed to get the temperature of the patient's bones, which is already in place.

The proficient level is more mature than the entry level, and more information can be obtained.

But still not great.

Now his bone touching has directly reached the proficient level, and he has begun to have the strength of a master.It's not a top expert level, but it's no problem to reach the level of a third-rate expert.

The patient's bone quality, bone temperature, bone position, joint structure, and even blood vessel conditions can already be felt initially.

The biggest advantage of feeling the condition of blood vessels is to judge the damage of soft tissue, cartilage and cartilage layer.

The feeling of touching the bones this time has completely become a kind of "enjoyment" exploration.

Calm, confident, proficient, precise.

Various bones and surrounding tissue information gathered in his brain, slowly forming a clear bone map.

If he were to perform manual reduction now, the operation would be as intuitive as open reduction.

This is the benefit brought to him by the bone touching technique.

No wonder Dr. Xu said that bone palpation is the basis of all bone setting.

Dr. Xu patiently waited for Li Jingsheng to finish touching, and then said, "Xiao Li, tell me about your examination results."

Doctor Chen also looked at Li Jingsheng expectantly.

Would like to hear how his test results differ.

"The scaphoid bone in the left wrist seems to be fractured, and the dislocation of the carpal bone is more serious than the X-ray findings. There are certain injuries to the blood vessels around the wrist bone, and the capitate bone adjacent to the scaphoid bone should also be damaged to some extent."

Li Jingsheng gave the inspection conclusion.

"This, this is impossible! The X-ray film clearly did not show any fractures!"

After hearing this, Dr. Chen was full of doubts.

At this time, he seemed to have belatedly remembered what Dr. Xu said before. Dr. Xu thought that the patient's injury was not that simple.

Now after Li Jingsheng's examination, he found that there was a scaphoid fracture.

It's okay if it's fake, but if it's true, Li Jingsheng's bone-setting level is already far above him.

"Doctor, did you make a mistake? After your colleague with six years of work experience checked me, he clearly said that it was only a slight dislocation of the wrist bone, and there was no fracture!"

The takeaway brother obviously didn't believe this result.

He even thought that Li Jingsheng was a novice, and his experience and skills were definitely not as good as that of an old doctor.

Dr. Chen is actually not old, and his actual age may be one or two years younger than Li Jingsheng.

But with the previous self-introduction, in the mind of the patient, he is an old doctor and Li Jingsheng is a novice.

This also illustrates the importance of a doctor's proper boasting.

"Doctor Xu, why don't you please check again and see who's test result is more accurate, Dr. Li or I." Dr. Chen admired Dr. Xu's skills in his heart.

Now that there is a dispute, it must be re-examined by a superior doctor.

"it is good!"

Dr. Xu felt the patient's wrist bone, and the whole process took about 20 seconds.

"Go and take a CT scan. Sometimes the X-ray examination will be biased. In order to save this little money, it is not worth leaving sequelae."

Dr. Xu suggested to the patient.

"Is this... necessary?"

Patients are somewhat reluctant.

To do one more inspection, not only will you have to queue up, but you will also spend a lot of money.

The price of doing CT is not cheap.

"I think it's very necessary. Of course, your body is your own. As doctors, we can only give advice. How to decide is up to you."

Dr. Xu is more sophisticated in words and deeds than Dr. Chen.

Based on his level of bone palpation, it must be felt that the patient's wrist bone was fractured, but he did not say.

This can avoid being slapped in the face to the greatest extent.

After thinking for a while, the patient finally decided to go for an examination.

After all, he was still so young, it would be too worthless if he was left with a disability.

Dr. Xu gave the patient an application for a supplementary wrist CT, and asked the patient to go directly.

The price is not cheap, the charge is 214 yuan.

If the chest or abdomen is checked, the cost will be more expensive.

After the patient left, a new patient was called in.

The age of the patient is 36 to [-] years old, female, and she is fairly fashionable in dress.It's just that her mouth was kept slightly open in a weird shape, and the expression on her face was stiff, and only her eyes showed fear and pain.

"What's the matter?"

"We were playing mahjong, she got a good card and got confused, and then she opened her mouth to laugh out loud because she was too happy. As a result, she stopped laughing a few times, and then pointed to her chin in fear. She seemed to be ... and dropped his jaw."

The two accompanying women introduced the situation.

Teeth falling out of laughter, jaw falling out of laughter, laughing to death, originally just described exaggerated laughing.

I didn't expect to see you for a long time, but I actually met one today.

Li Jingsheng looked at the woman, already thinking about how to touch the bone in his mind.

"Xiao Li, check her up."

Dr. Xu gave him another chance to practice bone touching.

Nothing else, mainly seeing high output.

Give Li Jingsheng a chance to touch his bones, and he can see his growth once.

Especially in the last patient, Li Jingsheng actually felt the patient's wrist fracture, which made Dr. Xu extremely shocked and gratified.

If any senior doctor encountered such a good seedling, he would do his best to cultivate it.

Li Jingsheng put on thin plastic gloves and examined the patient.

Gloves are usually worn during the examination because this is inserted into the patient's mouth.

Otherwise, the patient will definitely not agree.

"It's just that the mandibular joint is dislocated. I should be able to reset her."

After the examination, Li Jingsheng came up with the idea of ​​treating the patient.

He really wanted to see what kind of help the proficient bone touch technique could bring to the ordinary bone setting technique?
The manipulative reset method for dislocation of the mandibular joint went through his mind carefully.

"Well, then try it!"

After Dr. Xu finished speaking, he reminded me again.

"Be careful not to be bitten by the patient's hand."

Manual reduction of the mandibular joint is not difficult. Before the successful reduction, the patient will not be able to bite.But after successful reset, especially at the moment of successful reset, the patient may suddenly bite the doctor's hand because of pain and instinct.

During the operation, the doctor needs to buckle the thumbs of both hands into the patient's mouth.

After obtaining Dr. Xu's permission, Li Jingsheng directly asked the patient to sit on the stool, and put the thumbs of both hands into the patient's mouth at the occlusal surface of the two posterior teeth.

The other four fingers are placed under the mandible outside the patient's mouth.

When he was ready, before starting the manipulation reset, he said to the patient seriously, "Take a look back carefully, what card did you get when you dropped your jaw from laughing?"

The patient really rolled his eyes and began to recall carefully.

It's too late, it's too soon.

Li Jingsheng pressed down a little harder, then quickly withdrew his hand.

Click!clatter!
The jaw joint returned to its original position.

Just as the patient was about to open her mouth wide to cry out for pain, Li Jingsheng quickly supported her chin with his hand.

"Don't talk, let my teacher check to confirm that the reset is successful. You have to hang the chin with a bandage for a few days. Otherwise, it is easy to have a second dislocation."

Hearing what he said, the patient nodded and blinked again and again, and made a hmm sound to express his understanding.

"I can actually reset the jaw joint."

Dr. Chen is like a neglected second wife.

Seeing Li Jingsheng cured a patient, he felt somewhat sour.

"There are a lot of opportunities, Dr. Chen can fight for it next time!"

"Well, it's my turn to operate next time."

Doctor Chen greeted Li Jingsheng in advance.

"I'm OK."

Li Jingsheng agreed with a smile.

If Dr. Xu disagrees at that time, there is no other way.

Bandage the patient and rest the chin.Dr. Xu checked correctly, told the patient some precautions, and then asked the nurse to call the new patient in.

Taking advantage of this opportunity, Li Jingsheng secretly checked the harvest on the attribute panel.

The experience value of the doctor level and the proficiency of ordinary bone setting have increased by 1 point, and the proficiency of bone touching has increased by 2 points.Life value increased by 10 points.

The harvest is beyond imagination.

Li Jingsheng was very happy that the proficiency of the bone touching technique was actually doubled.

The taste of the day is really cool.

It's a pity that so far, there is only one bone touching talent.

But with a few more talents, he wouldn't have been so frustrated in the hospital back then.

A patient who successfully reset the bone, his life value actually increased by 10 points, which is the second surprise.

Because according to his experience, treating a common cold patient only increases 2 points of health.

The second point of life has to wait until the patient recovers before it arrives.

The life value harvested by bone setting is five times that of ordinary treatment.

This is really awesome.

From now on, I will come to the Second Hospital every morning to study for two hours. I can not only learn bone setting skills, but also earn a lot of life points.It's simply a bonanza.

Soon, after the female patient with a dislocated jaw was cured, new patients were brought in again.

That's what a big hospital is like.

There are always endless patients and endless operations.

The patient who came in this time was a patient with a sprained left ankle.

Dr. Chen had already tried his best to perform well, but when he saw a patient with a sprained ankle, he immediately challenged Dr. Xu excitedly.

"Doctor Xu, can you give me a chance to exercise this time?"

"Okay, try it!"

After seeing the film, Dr. Xu agreed.

The patient stared warily at Dr. Chen who came over.

There is no hair on the mouth, and the work is not fast.

This young doctor is clearly using him to practice, so he must not agree!
"Doctor Xu, Doctor Xu, I came to you for treatment just because of your reputation. You can't let the intern give me a mess!"

The patient speaks directly.

"Don't worry, neither of them are interns."

Doctor Xu said affirmatively.

"Mr. Wang, I have six years of work experience, and I have been a formal doctor for a long time. I am good at resetting various sprains and dislocations. Dr. Xu has treated many patients in the morning, and he is exhausted. This kind of difficulty is not high. It’s the same if you ask me to reset your bone. Anyway, after the reset, Dr. Xu will definitely check it himself, you, just put your heart in your stomach!”

Dr. Chen is very good at judging patients.

In a few words, the patient was persuaded by him.

Osteopathic reduction began shortly thereafter.

Dr. Chen did not forget to take a casual look at Li Jingsheng, which meant that Li Jingsheng was optimistic about it, and he was about to perform the bone-setting technique that he had practiced for six years.

Li Jingsheng held an attitude of learning with an open mind, and really watched carefully from the side.

I saw Dr. Chen posing very professionally, pinching the patient's calf with one hand, and pinching the patient's left foot from the bottom with the other.Then rotate slowly, using the bone-setting technique of rotating and turning.

Every time it turns around, the patient's face will show the painful expression of the blunt knife cutting.

One lap, two laps, three laps...

I thought that the reset would be successful after one or two turns at most, but Dr. Chen held the patient's left foot and turned it around and around, as if he was having fun and forgot about the business.

The patient gritted his teeth and endured it at first.

Later, whenever he saw Dr. Chen's hands start to turn, he would tremble.

After six rounds, there was still no intention of stopping. The patient couldn't stand it anymore.

This is the rhythm that will kill him alive!
"My dear ancestor, have you finished it? The cold sweat on my head has been painful for several layers because of you."

Doctor Chen looked embarrassed and slightly blushed.

"Doctor Xu, why don't you please operate it! His ankle joint seems to be different from normal people."

This reason is really lame.

(End of this chapter)