Gou is practicing medicine in the clinic

Chapter 151 Adhesion combined with joint dislocation, Apprentice Part [-]
"Little brother, you'd better not go to my clinic. I have something to do and I won't be able to go back for a while. There are only two young guys guarding my place, and one of them is not an intern. It will be troublesome if I treat you wrong. You'd better go to the hospital."

After Boss Zhao heard this, he quickly pushed the patient out.

"The technology there is very powerful. My girlfriend and I were sick with a cold before. Didn't we all go to your place for treatment? They all recovered very quickly! How about you help me see now, what medicine to use, Just call and speak to the nurse at your clinic."

This young man has a high degree of trust in Boss Zhao.

"You have a stomachache. It's through your belly. It's not so easy to cure. You listen to me and go to the hospital quickly. The doctor at the health station is very good at treating this kind of disease. You tell him, I introduced you to go there , I will definitely give you some preferential treatment. You and your girlfriend are old customers of our Kuaikang Clinic, so I should help you with this little favor. "

Boss Zhao's mouth is really powerful.

After selling the patient, the patient can help him count the money.

"Boss Zhao is still interesting! That's fine, let's go to the health station. Thank you!"

The young man felt very honored and left happily.

Boss Zhao stared at his girlfriend until she walked away, then he reluctantly looked away.

I feel that Boss Zhao is very similar to Cao Cao in this respect.

Regardless of whether there is an owner or no owner, as long as it looks good, he likes and wants everything.

"Brother Li, can you come out for a while?"

"Don't stand outside and don't come in every time you come! Others see me and think I'm so stingy that I don't even invite you in for a cup of tea."

Li Jingsheng walked out.

Whether you like it or not, you have to do the superficial effort.

It's like the relationship between two countries is hostile. Even if there is a fight, diplomacy must be maintained.

"It's cool outside, it's cool outside! Brother Li, wow, if you don't come for a day, you put on the signboard of bone-setting skills, which is really enviable."

Boss Zhao stared at the newly made stainless steel signboard with envy.

"Compared to the dozen or so signboards in your Kuaikang clinic, what am I? It's not even a fart."

"But don't say that, my dozen signboards are not as good as yours!" Boss Zhao showed a smug smile.Every small signboard in the clinic is not hung up casually.

Every piece of signboard is an expansion of strength.

They have opened a clinic for more than 20 years, and they have a deep foundation.

The vast majority of people who open clinics lose money in the first few years, and it is considered good if they can keep their capital after three years.

Boss Zhao’s current annual income is 200 million, and he doesn’t have many brushes. Is it possible?
"Brother Li, let's talk about something serious. How are you thinking about the matter that the station manager wants to invite you to the health station? Let me explain in advance, I'm just acting as a middleman."

He was worried that Li Jingsheng would turn against him.

The current Li Jingsheng's potential for development is terrifying.

When Boss Zhao interacted with him, it was obviously completely different from his previous suppressive attitude.

Even if he speaks now, he respects Li Jingsheng very much.

He is very smart, if he has a deep hatred with Li Jingsheng now, and after a few years, Li Jingsheng develops, why not crush him to death?
For this kind of opponent that cannot be stifled in the cradle, Boss Zhao chooses win-win cooperation instead of the previous suppression and stifling.

"I can't go. Just tell the station master Qiao that I won't go. I have to guard my own clinic."

Li Jingsheng replied lightly.

Stationmaster Qiao has great influence and certain real power. Although he cannot directly control Li Jingsheng, he can indirectly affect the operation of his clinic.

If the incorporation is unsuccessful, there should be no retaliation.

At most, he just hates Li Jingsheng.

It doesn't matter, Li Jingsheng doesn't want to have anything to do with him yet.

The chick knows the ambition of the swan.

His goals and ideals were beyond the imagination of Boss Zhao and Station Master Qiao.

Under his leadership, Sunshine Clinic will become a world-class top hospital in the future.

Not to mention asking him to work as an external doctor at the health station, even if he was asked to be the head of the health station, he was not interested.

"Okay, I'll talk to you about this later." Boss Zhao nodded, without much persuasion.

Before he left, he glanced at Xiao Gao who was busy in the clinic.

"Xiao Gao is really amazing! Sigh, I missed a talent!"

Saying that, he waved his hand, shook his head and left.

……

In the blink of an eye, two days passed, and Li Jingsheng refused the inclusion of the station master Qiao without any follow-up.

As if this had never happened.

He knew that it would definitely not be as calm as it appeared on the surface.

The female patient with a facial abscess had surgery the day before yesterday, and she came here yesterday for a drainage strip change.

Li Jingsheng's implantation technique has reached the entry level, so he is not stingy.

When she gave her patient a drainage strip the next day, she directly upgraded the implantation technique to the proficiency level.

It's not that he doesn't want to rise to the proficient level, or even a higher level.

But there are not many life points, only more than 100 life points, so you have to keep them for emergencies.

With drainage tubes placed, the entry-level is basically enough.

At most, it is a bit expensive, and it takes two or three times to successfully insert the tube.

Now that it has been upgraded to the proficient level, it can be successful once.

Today is Monday, and Li Jingsheng rushed to the Manipulative Restoration Clinic of the Second Hospital early in the morning for further training.

Now both Dr. Chen and nurse Li Li already know Li Jingsheng's abilities.

Even if Dr. Xu didn't arrive, they dared to pick up patients inside.

According to the normal procedure, Li Jingsheng read the films, felt the bones, and then made a treatment plan for the patient with manipulative reduction.

He has learned four advanced bone-setting techniques, and he has also reached the proficiency level in common bone-setting techniques. Basically, he can handle more than 60% of the cases.

It's too complicated and serious, not to mention him, even Dr. Xu can't handle it.

Those who can only be sent to the inpatient department of orthopedic surgery, first go through hospitalization, and then undergo surgery.

And not all fractures can be healed with surgery.

Many of them cannot be cured, or after treatment, there is no way to restore the original motor function.

The treatment of bone injuries is far more complicated than imagined.

Damage to even one meniscus may not heal well.

Or after being cured, the motor function of the lower limbs can only recover partly.

As Li Jingsheng learned more about bone setting and bone healing and experienced more, his awe of bone injuries became stronger and stronger.

Three patients were taken in one after another, and all of them were reset successfully.

Now, he seems to have the ability to sit in the manipulative reset clinic.

It was already past 08:30, and Dr. Xu still didn't come.

This kind of thing has never happened.

Li Jingsheng has been studying here for so long, and Dr. Xu has stepped on it most of the time.Up to 2 minutes late.

The only time that I was more than ten minutes late was because Dr. Xu rescued a child who had fallen from an accident on the way to work.No wonder I saw blood on his clothes that time.

A fourth patient was brought in.

After Li Jingsheng saw it, he was still able to cure it.

However, the patient needs to be photographed first.

Some patients directly register the number of the manual reset outpatient doctor, and then come to the outpatient room for treatment.

In this case, the patient needs to take a film first, and then come over with the film for further diagnosis.

"Why hasn't the teacher come today?"

Li Jingsheng was a little worried.

Not long after, Director Hua from the Orthopedic Surgery Department came over in person.

"How's the situation here?"

Director Hua asked.

"Dr. Li has already cured three of them, and the fourth one has just completed the inspection application form and has gone to take a film." Li Li replied truthfully.

"Well, very good! Dr. Li is now capable of becoming a new pillar of our Orthopedic Surgery Manipulative Reduction Clinic." Director Hua praised him with satisfaction. "Old Xu is sick and is on an IV drip. It may take a while before he comes here. Hold on for a while."

No wonder Dr. Xu never came.

It turned out to be sick.

He must be seriously ill, otherwise he wouldn't need an IV.

While talking, the fifth patient came in.

Director Hua was somewhat worried, and stood by and watched.Maybe I also want to see Li Jingsheng's true level with my own eyes.

Li Li directly handed over the patient's films and materials to Li Jingsheng.

For this, Dr. Chen can only be envious.

Because only Li Jingsheng has the strength to cure patients.

Li Jingsheng took over the film and didn't watch the film first, but the people first.

The patient's right wrist was almost all blue-purple, and the swelling was not particularly severe.

But it was still noticeably swollen.

There are also traces of Chinese herbal medicine applied on it.

External application and internal treatment have always been the characteristics of Chinese medicine.

"How did this happen?"

Li Jingsheng asked.

"I was accidentally crushed while operating the machine. Because the place where the hand was pressed was a round iron pillar, I thought it was nothing serious. At that time, it was directly run over from here, and my colleague turned off the switch immediately. In our town I asked the Chinese medicine doctor to prescribe the medicine, saying that it was for external application, and I also took oral wound medicine. It has been five days, and the swelling has disappeared a lot, but I can’t move my hands. I am afraid that I will become disabled. I heard that you can do it here. Come here to treat the bone injury."

The patient is about 50 years old, with thick limbs and fat people.

It can be seen that this person seems to have a soft spot for Chinese medicine.

Some patients trust Chinese medicine, while others trust Western medicine. It all depends on personal preference and cognition.

Both medicines can cure diseases.

However, the current market mainstream is Western medicine.

After learning about the patient's injury history, Li Jingsheng checked the film carefully.

A CT scan of the hand was taken.

The fingers were barely injured, starting from the back of the hand, the closer to the wrist, the more serious the injury.

I don't know what kind of machine crushed it.

Accidents involving some rotating machines, involving workers and directly crushing them into paper people, have even been in the news.

The patient's condition must have been extremely dangerous.

If the colleague hadn't turned off the gate, it is estimated that the person might have disappeared.

The most feared thing about crush injuries is that two things will happen, one is tissue adhesion.Because this type of injury is often bone and soft tissue damage together, adhesions are almost inevitable.

There is a bone fracture, or even a comminuted fracture.

Even surgery can't cure it.

The hip joint can be replaced, the knee joint can also be replaced, and the artificial joint technology of the shoulder joint is relatively mature.

So far, there is no way to replace the wrist joint.

Human medicine is constantly improving, but there are still many areas that have not been conquered.

The overcoming of many medical fields requires the cooperation of scientists, manufacturers, hospitals, and doctors in various fields.The integration of these resources and the joint application of technologies all face great obstacles.

Therefore, many medical problems are far away.

After seeing the film, Li Jingsheng found that the patient's wrist bone had two slight fractures. The joint displacement was not particularly serious, but the soft tissue damage and adhesion were very serious.

"It's not good to reset your situation!"

Only with the four advanced bone-setting techniques that Li Jingsheng has mastered so far, there is no way to deal with such a complicated bone injury.

Doctor Xu may have this ability.

Sometimes it is so dramatic. The first four patients are all Li Jingsheng can handle.

But when Director Hua was standing by and watching, something came up that he couldn't handle.

He really didn't do it on purpose.

"We asked two big hospitals, and the surgical treatment cost at least [-] yuan. They all said that your bone setting technique is very sophisticated and the cost is cheap. Can you help me find a way?"

The patient begged.

This person also said before that after the treatment in the Chinese medicine clinic had no effect, he came to the second hospital directly for treatment.

Not honest!
This is normal. Many patients are worried that they have been seen in other hospitals and make the doctor unhappy, so they will deliberately conceal it.

In fact, most doctors do not mind these.

Everyone is very honest, if it can be cured, it can be cured, if it cannot be cured, it can only be pushed outside.

"My four children are studying, and the youngest is only eight years old. The family conditions are really bad. Doctor, please help! If it costs [-] to [-] yuan, we can't cure it at all. If my husband's hand is disabled, we will I don’t even dare to think about life at home.”

The woman is 48 and nine years old. Like her husband, she looks like a hard-working worker in the countryside.

Some towns are well developed and have factories.

Local residents don't have to leave their hometowns and can work near their homes.Although the wages are a little lower, everyone is very happy to be able to make money and take care of the elderly and children.

The couple are almost 50 years old, and the youngest child is only eight years old, so they can really have children.

Pregnancy is considered advanced age if it is over 35 years old.

The risks are also multiplied.

The salary of the couple is not high, and they have four children. The financial pressure of this kind of family will definitely be particularly great.

Now that there is a problem with the pillars of the family, it is tantamount to a huge disaster for the whole family.

Li Jingsheng can sympathize with the difficulty of this family.

"That's all right, you sit there and wait for a while, when my teacher comes over, see what he has to say."

Treating such a difficult orthopedic injury is very risky.

Li Jingsheng would never dare to be the master of this.

He had seen too many stories about the farmer and the snake.

Don't look at the patients and their families begging him to help with treatment now.If it is cured, everyone will be happy. If it is not cured, it is only light to complain about him.

He will never easily agree to something he is not sure about.

The family members and patients agreed, and sat aside to wait for Dr. Xu to come.

A sixth patient was admitted.

This is a fractured patient with a transection of the humerus of the left arm.

Li Jingsheng was completely depressed.

It seemed that he was deliberately trying to make him look bad in front of Director Hua, and two patients with difficult orthopedic resets came consecutively.

After reading the films and touching the bones, he had some understanding in his heart.

If he wants to butt the patient's broken bones, he can do it.However, for this transverse fracture and jagged fracture, even after the grafting, it is difficult to make the bone sections fit tightly.

This will definitely affect the healing of bone injuries, and will also reduce the force strength of the fracture site after healing.

It is even prone to secondary fractures.

In addition, good fracture reduction is like wound suture, which can quickly heal the wound.

If the broken bones are butted, there is no way to ensure that the broken ends fit tightly, and the healing time will be greatly prolonged.There may even be malunions.

When Li Jingsheng was in a dilemma, Dr. Xu came over.

"Director Hua, please help me watch the scene!"

He greeted Director Hua with a smile.

"Isn't this just to see how your high apprentice skills are!"

Director Hua is very good at speaking and doing things.

Although Li Jingsheng failed to settle two cases in a row, he never said a word of criticism from the beginning to the end.

Not even a disparaging word was said.

Doctor Xu used to refute and correct others when he heard that Li Jingsheng was his apprentice.

This time, surprisingly, there was no rebuttal.

He turned to look at Li Jingsheng.

"Teacher, are you in good health?"

Li Jingsheng was not in a hurry to report on his work, but asked about the teacher's health.

"It's okay! It's just that I don't have any strength in my body, and I feel a little dizzy. Are these two patients very difficult to reset?"

After sweeping his eyes, Dr. Xu could guess the condition of the two patients without Li Jingsheng's report.

"The patient had two mild fractures of the wrist bone and a certain dislocation of the joint. Both of these were easy to solve, but his soft tissue was severely damaged and there were adhesions, which caused great obstacles to the manual reduction."

Li Jingsheng first reported the situation of the first difficult patient.

"Soft tissue adhesion injury combined with fracture and joint displacement? This is indeed extremely difficult to operate."

In front of outsiders, Doctor Xu pays attention to protecting his apprentice's face.

Of course, the difficulty of operation is indeed not low.

"What about this? What's the situation?"

His gaze was on the patient with the fractured humerus.

"This patient suffered a transverse fracture of the humerus. I have no problem connecting the broken bones, but it is difficult to ensure that the broken ends fit closely."

"Well, bone transection is really hard to cure. Do you have a treatment plan?"

Dr. Xu wanted to take this opportunity to test him, to test whether he was studying hard.

"It may be necessary to do traction, and then shake the distal end of the fracture to make the broken bone fit tightly. To perform this operation, one needs arm numbness, and the other requires an assistant. I can only wait for you to come over before I dare to do it."

Li Jingsheng wanted to try the manual reduction of humeral transverse injury.

This requires the use of a fifth advanced bonesetting technique.

He asked himself with some confidence, about [-]%.

"It's ok! It seems that you haven't been lazy these days. The treatment bed inside can be used for traction and fixation. If he can be cured in the outpatient clinic, he shouldn't need to be hospitalized."

After hearing this, Doctor Xu showed a satisfied expression.

It's not like Li Jingsheng has been studying with him for a day or two, and he understands what it means when he hears this.

This is to let Li Jingsheng let go of his hands and feet, and the teacher will guide and sweep the formation beside him.

"Great, can you treat me now?"

The patient was overjoyed when he heard from the old doctor that he could be treated in an outpatient clinic without being hospitalized.

Everyone knows that the cost of outpatient treatment is much lower.

Rehabilitation at home is not only much less expensive, but also more free and comfortable.

"I'll help you get it right now, and lie down on the treatment bed inside."

Li Jingsheng has many things to decide now.

　Thank you two book friends, Egg Bandits,

　　Book friend 20210301106460054746, thank you very much for your support.

　　
　
(End of this chapter)