Gou is practicing medicine in the clinic

Chapter 127 Doctor Chen Wants to Apprentice Teacher, This Is Full of Joy

Chapter 127 Doctor Chen Wants to Apprentice Teacher, This Is Full of Joy

"Then I won't be polite to you. Considering that there are minor fractures and serious joint dislocations, give him anesthesia!"

Li Jingsheng said the last sentence to Li Li.

"Is it okay to play local anesthesia?" Li Li asked.

"Branchial plexus anesthesia is enough. Dr. Chen, please make a temporary doctor's order."

Li Jingsheng is not a doctor in the Second Hospital, so he has no authority to give medical orders.

This kind of temporary medication is not prescribed by the doctor, and the hospital will not reimburse it.

According to the regulations of the hospital, many will require the doctor to issue a doctor's order, and then the nurse will sign for confirmation.

The anesthesia process went smoothly.

Dr. Chen and nurse Li Li are very cooperative.

After all, the family members looked quite savage, and Dr. Xu was not present, so they didn't deal with it well. If the family members really made a fuss in the outpatient room, the hospital would definitely hold them accountable.

After the anesthesia took effect, Li Jingsheng began to seriously reset the patient's bone.

There is adduction-type slight fracture of the outer neck of the humerus. Let alone manual reduction, even open reduction is very difficult.

It not only has high requirements for common bone-setting techniques, but also requires rotation, flexion and extension to reach a very high level, so that bone-setting reduction can be successful.On the contrary, the requirements for pulling and pulling are lower.

When many orthopedic surgeons perform incisions and perform operations, I believe they have had an experience. They just find it a little difficult to look at the film. Isn’t it a simple matter to perform surgery after incision?
Put the broken ends together directly, and nail the nails when they are needed.

If you want to put on the stand, put on the stand.

In fact, the difficulty of finding the reset after cutting is much more difficult than imagined.

This is actually because of the method problem.

I don't know the bone quality and image, and the bone position can only be judged by looking at the film. The difficulty of resetting them after incision will be reduced, but the difficulty still exists.

Moreover, if the treatment is not in place, it is very easy to cause joint degeneration, malunion of the fracture, and affect the normal motor function of the patient.

Even more seriously, osteonecrosis occurs directly.

For example, the femur is one of the most prone to necrosis.

The treatment of orthopedic injuries, even now, is still second to none in many characteristic orthopedic hospitals in China.Not to mention beating top tertiary hospitals, at least the market recognition of these hospitals is higher than that of top tertiary hospitals.

These orthopedic specialty hospitals basically have the inheritance of traditional Chinese medicine for bone setting and bone injury treatment.

For example, the very famous Shuangqiao Granny, Ponzi and so on.

After the diagnosis in a large hospital, it was said that an operation would be required to cure it, and there was no guarantee that all motor functions would be restored.

Then find a special orthopedic hospital and meet a really smart doctor. No surgery, no surgery, direct manual reduction, may need to be hospitalized for a period of traction, combined with external application of bone injury ointment, and internal administration of bone rejuvenation drugs.

He eventually recovered and was discharged from the hospital with normal motor function.

This case is not one or two, but very many.

Li Jingsheng's search for a famous bone-setting teacher did not have too much ambition, he just wanted to learn how to set the bone and reset it, so as not to cause the small clinic to close down.In the future, I can have a good meal wherever I go.

It would be even better if it could raise the popularity of the small clinic and drive the sales of health care medicines and the development of surgery business.

At this moment, he has upgraded the rotation, extension, flexion and extension technique to the proficient level, and he naturally has the idea of ​​​​resetting the technique in his mind.

"First adduct and internally rotate to hold it, then extend outward, then bend forward, lift up, then internally rotate to fasten the fracture surface, and slowly lower the raised limb..."

I saw him with a serious face and a dignified expression, and his eyes were staring at the patient's shoulder.

click!
The bone groaning sound came out, and the child snorted, but did not let out a scream.

The effect of brachial plexus anesthesia is OK.

Although it belongs to local anesthesia, it also has risks.

Li Jingsheng observed a detail, even in a large tertiary hospital like the Second Hospital, before administering local anesthetics to children, they still do skin tests first.

It seems that not only his small clinic is cautious!
People's lives are at stake, and everyone is very cautious.

In the event of an accident, not only the patient's life may be lost, but the career of the doctor or nurse involved is basically terminated.

Even if the practice license is not revoked, the probability of sitting on the bench in the future is very high.

"Is this ready?"

The child's father asked eagerly.

"Let me check again to make sure, you hold the baby and don't move."

Li Jingsheng checked again with the bone palpation technique.

The dislocated shoulder joint has been reset.

The fracture has also been aligned and restored to fit.

In fact, the child's fracture is not serious, rather minor.

But there is a fracture.

Without treatment, it only needs two or three months of maintenance, and it can heal itself.

And basically there will be no sequelae.

If the care is not proper, such as not wearing a sling and allowing the arm fracture to continue to be damaged by external forces, it will be hard to say.

"The manipulative reset has been successful. However, the child's arm needs to be suspended around the neck for a period of time. Also, he has fractures, and he needs to be prescribed some medicine to take back and take good care..."

With that said, Li Jingsheng explained the precautions in maintenance to the children and parents in detail.

And told them to review in the hospital a month later.

Dr. Chen had already fetched the bandages, and obediently lowered his body to help Li Jingsheng, helping him deal with the next steps.

Ten minutes later, the bandage was done.

Li Jingsheng's examination was correct, and Dr. Chen prescribed the medicine prescribed by the doctor, and then asked the family members to pay for the medicine themselves.

This patient is considered complete.

Li Jingsheng's doctor level experience has been increased by 1, his proficiency in ordinary bone setting has been increased by 5, his proficiency in bone touch has been increased by 1, and the most exaggerated is the rotation flexion and extension technique, his proficiency has increased by 10.

The life value is also increased more, adding 11 points.

10 of them should be rewarding in nature.

He found that the health reward mechanism of the attribute panel is particularly metaphysical.

It was a big surprise when it was cold.

Sometimes, the rewards given are very few.

For example, this time, only 10 life points were rewarded.

Of course, there are many.

Under normal circumstances, he needs to treat at least five patients to earn this much.

It is also necessary to ensure that all five patients recover.

Only diagnosis and treatment, if the patient does not recover, he can only gain 1 point of health.

It feels a bit like withholding half as a final payment.

After he cures the patient's illness, he will automatically pay the final payment.

After the family left with the patient, Li Li looked at Li Jingsheng completely differently this time.

"Doctor Li, it's okay! I usually see you studying with Dr. Xu, and I thought... you don't have the ability to treat independently for the time being!"

She was very careful when she spoke, for fear of offending Li Jingsheng.

In any department, medical skills are the core elements to improve the status of doctors the fastest.

After seeing Li Jingsheng's bone-setting ability alone, nurse Li Li automatically moved Dr. Chen to the back in her mind, and then raised Li Jingsheng to the second highest level after Dr. Xu.

"I just learned some superficial things. I can handle the simple ones, but I can't handle the difficult ones."

Li Jingsheng was very humble.

With more than nine months, nearly ten months of experience in running a clinic, and having suffered countless beatings from the society, this also makes him obviously more mature and stable than Dr. Chen and Li Li.

Acts lightly, but has the ability to be calm at critical moments.

A famous physiognomy teacher once said that to see whether a man is calm and reliable, you only need to look at his walking posture.

Those who shake their shoulders and raise their feet when walking are probably unreliable.Only a man who walks like a mountain on his back, with a slightly hunched waist, is the most reliable and responsible.

Because this kind of man walks like a burden on his shoulders all the time, most of them have experienced tempering and have a sense of responsibility to have this form.

After careful recollection, it really makes some sense.

Most young people in their 20s are frivolous, with the exception of a few mature and prudent ones.

Only after the age of 40 or [-], after experiencing the world, that kind of man will be particularly mature and stable.

Compared with Dr. Chen at this moment, Li Jingsheng belongs to the latter.

Able to handle things and have real strength, but humble on the surface.

"Dr. Li, we have been working together for a while. Dr. Xu didn't come today. It's a rare opportunity. Why don't you teach me!"

Doctor Chen shyly approached Li Jingsheng to make friends.

"Don't make fun of me! I have only learned how long, and you can teach me almost the same."

Li Jingsheng refused to teach even Xiao Gao, so how could he teach Dr. Chen advanced bone setting skills?
He is really unfamiliar with Dr. Chen.

Even though Li Jingsheng has been here for some time to 'study', but he has very little talk with Dr. Chen.

Moreover, Dr. Chen's attitude towards him was not friendly at first.

For a while, there was even palpable hostility.

Only with Dr. Xu on top, Dr. Chen dared not make a mistake.

However, it can still be felt from his speech and directing Li Jingsheng to do things.

"I'm really not making fun of you, I know, Dr. Xu must have taught you some real skills, but he never taught me..."

Dr. Chen was halfway through speaking when he saw a figure walking in, looking at him coldly.

Subconsciously turned to look over.

"Ah... Doctor Xu, you are finally here! There are many patients waiting for you outside!"

Dr. Chen's ability to see the wind and the wind is very strong!

In the workplace, everyone has a desire to survive.

Dr. Chen didn't dare to offend Dr. Xu, otherwise, replacing him would be just a matter of words.

"Hmph, can't you deal with it without me? Hurry up, there's so much nonsense."

Dr. Xu scolded Dr. Chen directly with a cold face.

This scolding was really unjust.

Obviously did nothing wrong.

Li Jingsheng and Li Li laughed secretly, probably because Dr. Chen said that Dr. Xu had passed on the real skills to Li Jingsheng, but he didn't teach him. Dr. Xu heard it.

Just scolding him a few words is considered light.

"Doctor Xu, you didn't come just now, and a family member made a big fuss, so we brought him in and worked together to finish it."

Li Li honestly reported her previous work.

"Isn't this good! The patient's bone injury is not serious, is it?"

Doctor Xu treats female nurses fairly gently.

At most, when you are in a bad mood, you keep a cold face and don't speak.

Li Jingsheng has studied here for many days, but he has never heard Dr. Xu scolding Li Li.

Even if she does something wrong sometimes, she can at most say a few words in a serious tone.

Young female nurses and female doctors are usually fragile in heart, and they are really likely to cry when they are scolded.

Even though Dr. Xu is not afraid of anything, it is a bit of a bad reputation for scolding nurses to cry, so it is better not to do it.

"The patient's shoulder dislocation is quite serious, and there seems to be a minor fracture."

Li Li replied.

"Is there a film? Let me see."

"Yes, yes!"

Dr. Chen quickly called out from the computer.

After seeing it, Dr. Xu asked in a cold tone, "Who reset the patient's bone?"

"It was operated by Dr. Li."

Dr. Chen noticed that Dr. Xu's face was dark and his tone was not right, so he quickly pushed Li Jingsheng out as a shield.

"Can you heal this kind of bone injury?"

Doctor Xu stared at him with cold eyes.

"I feel a little sure, and you were not there at the time, so I got started. Fortunately, I didn't smash your signboard. After the reset, I checked his bones. The bone position is normal, and the fracture line is closed tightly. After a period of maintenance Time should be all right."

Li Jingsheng is not afraid of him.

He answered very calmly.

"How did you reset it?"

Dr. Xu's complexion is still not very good.

The main fear is that Li Jingsheng will act blindly and delay the patient's condition.

"I asked the child's father to hold the child and reset it in a sitting position. First adduct, internally rotate for traction, then abduct and then bend forward..."

Li Jingsheng told the treatment process.

After listening, Dr. Xu's originally dark face turned sunny again.

"Good job! Remember, you can be bold and cautious when treating patients, but you must do what you can. You must not do things that delay the patient's condition."

After listening to his reset process, Dr. Xu knew that Li Jingsheng had probably succeeded in reset based on his rich experience.

"I'm not that kind of person either!"

Li Jingsheng pouted.

After practicing medicine for so many years, he never did such irresponsible things when his medical skills were poor.What's more, it is even more impossible to open a clinic by yourself now.

"It seems that you have practiced stretching, traction, rotation, flexion and extension to a certain level, which shows that you have put your heart and effort into it. Do you remember the four kinds of displacement of the broken end?"

Seeing this 'apprentice' progressing so fast, Dr. Xu was very pleased.

The look in Li Jingsheng's eyes has become much softer.

"Overlap, rotate, angle, and shift sideways!"

"Yes, it is these four. When one or two of them exist at the same time, it is necessary to use a combination of pulling and stretching traction and rotation, flexion and extension, so that the axes of the distal and proximal fracture ends can be aligned, and the overlapping displacement can be corrected. "

These are the essence of advanced bone setting techniques.

Dr. Xu said it in front of Dr. Chen without any hesitation, not afraid of him walking away at all.

After hearing this, Li Jingsheng nodded repeatedly.

He already has a certain degree of understanding and comprehension of these manipulation reset techniques.

If you want to go further, I am afraid that it is possible to upgrade all the pulling, pulling and rotating flexion and extension to the Xiaocheng level.

Don't think about it for now.

Because after he improved the rotation flexion and extension technique to proficiency just now, his health has only 43 points left.

Later, he succeeded in bone setting for the patient, earning 11 points, which only added up to 54 points of life.

This point of life is of little use to him now.

Because after many medical skills are upgraded to the proficient level, 500 proficiency points are required to be promoted to the next level.

Being a doctor is destined to be a slow-growing profession.

This is still the case even with the property panel.

However, this is also related to his multi-line promotion at the same time.

Diagnosis of intestinal fear, general surgery, internal exhalation, and heart...there are too many medical skills to improve.

This is why many medical predecessors do not recommend that young doctors take the development route of general practice.

With limited energy and time, it is good to be able to master a field.

Too much to chew.

I also want to learn this, and I want to learn that, and it is easy to accomplish nothing in the end.

Li Jingsheng can completely ignore this taboo, because he has the 'upgrade weapon' of the attribute panel.

"Xiao Li, have you learned the lifting and pressing that I taught you two days ago?"

Dr. Xu is directly treating Dr. Chen as air.

In fact, Dr. Chen was listening to him teaching Li Jingsheng, as if he was listening to a scripture.

"I'm already practicing, and there's nothing wrong with the basics. It's just that I need to practice more when it comes to specific operations." This is Li Jingsheng's opportunity to grab the hands-on training in an open and honest manner.

"Well, as long as there is a chance, I will naturally give you a hand. Today I will teach you two techniques of holding and squeezing."

Doctor Xu began to teach him new skills again.

Before teaching advanced bone-setting techniques, these most basic bone-setting techniques will be taught.

Li Jingsheng has already achieved proficiency in common bone setting techniques, which allows him to learn more complex basic bone setting techniques with twice the result with half the effort.

This ability is beyond the reach of Dr. Chen.

At the same time, Dr. Xu appreciated him even more.

It is nature for teachers to like students with good grades.

……

At around ten o'clock in the morning, it was time for Li Jingsheng to return to the clinic.

He has already learned two relatively advanced bone-setting techniques of squeezing and tipping.

Combined with the two techniques learned earlier, it is lifting, pressing and squeezing.

This is the fourth advanced bonesetting technique.

After learning it, you can not only reset the limbs of patients, treat more complicated bone injuries such as side limb fractures, but also treat some bone diseases in the cervical spine, lumbar spine, and back spine.

He can feel it himself, as long as he has learned the fourth bone setting technique, he is already qualified to become an ordinary master in the field of bone setting and reset.

Sunshine Clinic should be officially listed for manipulative orthopedic treatment.

Much earlier than he expected!

So far, his small clinic has only treated two patients with dislocated joints.

After the official listing, there should be an opportunity to receive more cases in this regard.

In the future, there will be another source of income for the clinic.

"Xiao Li, you must practice more when you go back. Your talent is very good, and you are almost born to do this. I really hope that you can close the clinic and come here to work with me. It is estimated that it will not be three years. Your bone setting The ability to reset will surpass me."

Seeing that he was going back to the clinic again, Dr. Xu seemed very reluctant.

Dr. Chen and Li Li next to me couldn't believe their ears when they heard this.

It only takes three years of study to surpass Dr. Xu. This Dr. Li's talent is simply terrifying.

"Doctor Li still runs a clinic! Another day if I have time, I'll go and play with you!"

Dr. Chen is obviously still ruthless.

He could not learn advanced bone-setting techniques from Dr. Xu, so he was going to find a breakthrough from Li Jingsheng.

In the past, Li Jingsheng only said that he had something to leave and never revealed his real identity.

But this time Dr. Xu said it out.

"It's ok, but my small clinic is shabby and old, and it's usually busy, so I'm afraid that you won't be well received when you go." Li Jingsheng didn't refuse.

"Xiao Li is so busy every day, so don't bother him. Do you think you have nothing to do? I'll say hello to Director Hua and ask him to add to your burden. Our orthopedic surgery night shift is always short of people. I see you It's a good fit."

Dr. Xu said with a cold face beside him.

"Ahem... I was just joking with Dr. Li just now. I'm writing a thesis recently, and I want to participate in a project. I'm actually quite busy. Dr. Li, I'll go find you later! not going."

Dr. Chen's face changed with fright.

In the hospital, as long as you want to work overtime, there will always be endless overtime.

Especially on the night shift, it was very torturous.

Many young doctors work three to four night shifts a week.

It is not uncommon for the shaft to rotate for 36 hours.

Dr. Chen followed Dr. Xu in the outpatient clinic, and it was quite relaxed.

Basically, he can get off work when the time comes, and the inpatient department never arranges work tasks for him.

Dr. Xu made it clear that he was not allowed to go to Li Jingsheng. If he didn't show up, he would definitely be forced to work overtime until he died.

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(End of this chapter)

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